Sexually Transmitted Diseases

HIV/AIDS:  Improved  outcomes, less disparity

CHAC, the Clinical and Health Affairs Commission of the AAPA January 11, 2012

The goal of the National HIV/AIDS Strategy for the United States is to rededicate attention to HIV/AIDS management in the areas of prevention, outcome improvement, and elimination of disparities.

What's new in sexual health:  CDC proposes new guidelines for the treatment of STDs

Patricia Jennings, DrPH, Laura Bachmann, MD, MPH April 19, 2011

The authors review the recent changes made in December 2010 to the Centers for Disease Control and Prevention guidelines for sexually transmitted diseases.

HIV pre-exposure prophylaxis: New guidelines, new concerns

Travis Sherer, PA-C, AAHIVS February 07, 2011

The CDC recommends PrEP only in high risk men who have sex with men (MSM). I fear that this recommendation may be misunderstood, as the guidelines do not stress behavior over identity enough.

Should my son get an HPV vaccine?

Jessica E. Stabb, Rebecca Buckley, MHS, PA-C January 25, 2011

This information can help PAs understand the risks and benefits of HPV vaccines, enabling them to explain to parents and patients the importance of the vaccine, particularly in adolescent males.

Ciliary injection: A differential diagnosis for the patient with acute red eye

Samuel Powdrill, MPhil, PA-C  December 02, 2010

A case report helps demonstrate how to make an accurate diagnosis in patients presenting with this challenging ocular manifestation.

Chlamydia and gonorrhea

Amy M. Klingler, MS, PA-C November 18, 2010

This article reviews the general features, clinical assessment, diagnosis, and treatment of chlamydia and gonorrhea.

New-onset status epilepticus develops after a motor vehicle collision

Kishore Kuppasani, MS, MPA, PA-C, Vivek K. Vadehra, MD; Alluru S. Reddi, MD, PhD September 29, 2010

Despite suffering no head trauma, the patient began to experience new-onset  seizures from an unexpected and surprising source.

The role of human papillomavirus testing in cervical cancer screening

Lauren Morasse, MS, PA; Adi Davidov, MD; Mario R. Castellanos, MD November 02, 2009

HPV infection can progress to cervical cancer. Updated screening guidelines identify those at high risk for more serious disease.

Understanding the link between HPV and oropharyngeal cancers

Denise Rizzolo, PA-C, PhD, Mona Sedrak, PA-C, PhD October 06, 2009

As traditional risk factors decline, investigators are investigating other potential risk factors for head and neck cancers.

Confidentiality, trust, and sexually transmitted infections

F. J. Gianola, PA, DFAAPA December 01, 2007

You test a patient for sexually transmitted infections (STIs) at her request. She tests positive for Chlamydia trachomatis infection. You give her medication for the infection, and you counsel her to refrain from having sex with anyone—especially with anyone with whom she has had sex in the past 60 days, until those persons are treated. You ask her to encourage her recent sex partners to be tested and, if necessary, treated. You also provide patient education about chlamydia. You suggest strongly that the patient return for a routine retest and examination in 6 months, explaining carefully that any of her partners who are not effectively treated for chlamydia may reinfect her.

Treatment of STDS: Updated guidelines from the CDC

From CSAC, the clinical and scientific affairs council of the AAPA July 01, 2007

Male neonatal circumcision: An evidence-based review

Herb Ridings, MA, PA-C; Michelle Amaya, MD, MPH February 01, 2007

Controversy and confusing study results confound parents and clinicians alike. Despite some proven medical benefits of circumcision, cultural and religious beliefs still usually determine whether this procedure will be performed.

A clinician’s guide to condoms, spermicides, microbicides, and lubricants

Patricia R. Jennings, DrPH, PA-C; Laura Bachmann, MD, MPH December 01, 2005

Apart from abstinence, the proper use of a new latex condom during every act of sexual intercourse is currently the most effective method of preventing sexually transmitted infections, including HIV.