Treatment and Care

This report summarizes laboratory and epidemiologic findings associated with reduced susceptibility to azithromycin. It notes that in August-October 2009, five of 55 N. gonorrhoeae isolates obtained from men with symptomatic urethritis tested at San Diego County’s main municipal STD clinic had high azithromycin minimum inhibitory concentrations (MIC)s.

This pamphlet provides information about the STD chlamydia. It lists basic facts about the disease and discusses transmission, symptoms for men and women, testing, and treatment. The pamphlet explains that recent sex partners should be notified, as they would need to be tested for the disease and treated if infected. Chlamydia can be cured with antibiotic treatment, but an individual can be reinfected.

This pamphlet provides information about genital human papillomavirus (HPV). It notes that this is the most common sexually transmitted virus in the US and that most people who have the disease do not know it, as they may not have symptoms. It explains how the disease is transmitted, the symptoms and health effects of HPV, and focuses on important knowledge about HPV for both men and women. Women are warned that some types of HPV can cause cervical cancer in women, but that a woman can protect herself by getting regular Pap tests and early treatment for problems that could turn into cancer.

The Federal Bureau of Prisons (BOP) Stepwise Approach for Detecting, Evaluating, and Treating Chronic Hepatitis B Virus Infection provides recommendations for the medical management of federal inmates with chronic hepatitis B, or who are otherwise at risk of infection. The treatment of chronic hepatitis B in pregnancy or with hepatocellular carcinoma is beyond the scope of this guideline. For a more in-depth discussion of vaccination strategies and management of blood and body fluid exposures, the reader should refer to the BOP Clinical Practice Guidelines for those topics.

This report summarizes trends in cephalosporin susceptibility among N. gonorrhoeae isolates in the United States during 2000--2010 using data from the Gonococcal Isolate Surveillance Project (GISP). During that period, the percentage of isolates with elevated minimum inhibitory concentrations (MICs) to cephalosporins (=0.25 µg/mL for cefixime and =0.125 µg/mL for ceftriaxone) increased from 0.2% in 2000 to 1.4% in 2010 for cefixime and from 0.1% in 2000 to 0.3% in 2010 for ceftriaxone.

4 waiting room posters to encourage patients to speak with their doctor about latent TB. The posters are available in English and Chinese.

This serial reports on the Medical Monitoring Project (MMP). The MMP was designed to be a nationally representative, population-based surveillance system to assess clinical outcomes and behavioral outcomes among persons with HIV infection who are receiving medical care in the United States. This report covers data collected during June 2007 to September 2008 for patients who received medical care in 2007. Findings indicate that in 2007, most persons with HIV infection who were receiving medical care were taking antiretroviral therapy (ART), and had some form of health insurance or coverage.

This slide set discusses use of the Ryan White Care Act (RWCA) to provide treatment of hepatitis C coinfection in persons living with HIV. It presents an overview of viral hepatitis, the basics of hepatitis C compared with hepatitis A and B, acute and chronic infection, prevention, HCV treatment and side effects of treatment, treatment decisions,, barriers to treatment, and increasing access to treatment through the RWCA.

This report outlines some of the strategies, tools and policies that have supported the scaling up of treatment during the past decade as well as those that can address persistent or new challenges. The results are presented from a 23-country survey of how consistently these strategies are being implemented. The findings demonstrate encouraging progress by some health ministries in adopting many of the enabling policies needed to facilitate scale-up and improve care. Nevertheless, the adoption and implementation of these strategies, tools and policies are lagging in some countries.