Sexually Transmitted Infections and HIV:Diagnosis and Treatment

摘要

Accurate assessment, diagnosis, and treatment of sexually transmittedinfections (STIs) in HIV-infected persons can identify sexual risk behaviors andspecific STIs that may increase transmission of STIs and HIV. HIV-infected menand women should be screened annually for syphilis and urogenital gonorrheaand chlamydia. Serologic testing for hepatitis A, B, and C viruses should alsobe performed. Women should be tested for trichomoniasis and undergo acervical Papanicolaou test annually. Men who report receptive anal intercoursewith men during the preceding year should be screened for rectal gonorrheaand chlamydia. Men who report receptive oral intercourse with men duringthe preceding year should be screened for oropharyngeal gonorrhea. Morefrequent screening at 3- to 6-month intervals may be indicated for men whohave sex with men who have numerous or anonymous partners. STIs mayhave unusual presentations in HIV-infected patients. Aspects of diagnosisand management of common STIs will be discussed in this article. This articlesummarizes a presentation by Kimberly A. Workowski, MD, at the IAS–USA livecontinuing medical education course held in New York City in October 2011.