Based on content from the 2015 CDC STD Treatment Guidelines, and developed by the NYC Department of Health and Mental Hygiene Bureau of Sexually Transmitted Infections and the NYC STD HIV. The CDC releases information regularly that serves as guidance for clinicians and public health professionals. Program Operations Guidelines for STI Prevention. The annual report – which highlights that. stdccn. Chlamydia — Reported Cases and Rates of Reported Cases by State, Ranked by Rate. STI FACT SHEET. PrEP reduces the risk of getting HIV from injection drug use by at least 74%. Available online, a wall chart, and pocket guide. Clinical Slides. PrEP reduces the risk of getting HIV from sex by about 99%. This report presents statistics and trends for STDs in the United States through 2018. Apr 23, 2024 · Program management and evaluation. Author: Centers for Disease Control and Prevention. Risk factors include having new partners, multiple partners, or a partner who has an STI. Last Reviewed: July 22, 2021. org)). Jan 25, 2024 · CDC's Division of STD Prevention (DSTDP) confronts the root causes of sexually transmitted infections (STIs) by improving care and treatment access for the nation’s most disproportionately affected persons. Table of Contents - STI Treatment Guidelines from CDC. The term “sexually transmitted infection” (STI) refers to . As part of the clinical encounter, health care providers STI Awareness Week provides an opportunity to raise awareness about sexually transmitted infections. Michael Devitt — The CDC has published comprehensive updated guidance on the treatment of sexually transmitted infections. Summary. Publication ID: 36468. Explore STI resources, trainings, courses, and online seminars for clinicians, public health Jun 4, 2024 · Today, CDC published clinical guidelines on counseling patients regarding doxycycline post-exposure prophylaxis (or doxy PEP) for bacterial sexually transmitted infection (STI) prevention. CDC and its prevention partners offer many types of STD prevention training that could benefit you and your organization. 0* States were ranked by rate, then by case count, then in alphabetical order, with rates shown rounded. The organization released guidelines in 2015, 2018, 2020, and most recently in 2021. Mar 27, 2024 · The STI Clinical Slides depict clinical manifestations of sexually transmitted diseases and may include laboratory images of the organisms. Apr 9, 2024 · Women 25 years and older with risk factors should be tested for gonorrhea and chlamydia every year. The STI Plan sets a vision as well as goals, objectives, and strategies to respond to this STI epidemic. 5 years by 25% during the time period reviewed, OR the occurrence of a significant sentinel event (that is increase in congenital syphilis, lesion disease, or local needs). 1%. Trichomoniasis is estimated to be the most prevalent nonviral STI worldwide, affecting approximately 2. Department of Health and Human Services, Centers for Disease Control and Prevention; 2011 CDC Stacks cdc:109048 This pocket guide reflects recommended regimens found in CDC’s Sexually Transmitted Infections Treatment Guidelines, 2021. Sexual health can greatly impact overall quality of life. Format: PDF. ≥18 years: at least once, repeat if at risk. Notice of Funding Opportunity (NOFO) Title: Sexually Transmitted Infections (STI) Surveillance Network (SSuN) Cycle 5 C. Print. Testing for HIV should be performed at the time of STI diagnosis and treatment if not performed at the initial STI evaluation and screening ( 82, 195, 416 ). These highly-specific data allow for better resource allocation and the tailoring of more effective treatment methods. The information in this report updates the 1998 Guidelines for Treatment of Sexually Transmitted Diseases (MMWR 1998;47[No. HIV, another significant STI, is the focus of a separate HIV National Strategic Plan. However, some of the following guidelines might still apply to male sexual assault survivors. References. CDC Yellow Book 2024. Apr 8, 2024 · Basic information about STIs in plain language, in question and answer form. The STD Program provides technical assistance, clinical consultations, subsidized lab testing programs, STI medications and analysis of public health surveillance data to assist with accomplishing these goals. Most people with STIs do not have any symptoms. CDC TRAIN is a free service providing access to more than 1,000 courses. Intramuscular or oral treatment. 6 million persons in the United States (838,1055). A Guide to Taking a Sexual History. The genital sores caused by herpes can bleed easily. , testing for risk markers for STI and HIV acquisition or transmission). In the STI surveillance study which was conducted from January - June 2013 in 8 health facilities located in Amhara, Oromia and Addis Ababa by EHNRI in collaboration with CDC-E, a total of 636 STI cases were reported Treatment is recommended for all symptomatic pregnant women. Screening for sexually transmitted diseases in short-term correctional institutions: summary of evidence reviewed for the 2010 Centers for Disease Control and Prevention Sexually Transmitted Diseases Treatment Guidelines. The recommendations are designed to go hand-in-hand with the STI Treatment Guidelines – STD QCS can help guide clinical operations, while the Treatment Expedited partner therapy (EPT) is a harm-reduction strategy and the clinical practice of treating the sex partners of persons with diagnosed chlamydia or gonorrhea, who are unable or unlikely to seek timely treatment, by providing medications or prescriptions to the patient as allowable by law. This interactive tool provides CDC an effective way to disseminate data, while allowing users to observe trends and patterns by creating detailed reports, maps indicators, the STI prevalence is in a declining trend. Health Professionals. Hepatitis C 7. The user-friendly interface includes more clinical care guidance, sexual history resources, patient materials, and other features to assist with patient management. Sexually transmitted diseases are Oregon's most frequently reported infections and account for almost two-thirds of all reportable diseases. Often unaware they can pass infection to their sexual partner(s) Genital herpes can cause sores or breaks in the skin or lining of the mouth, vagina, and rectum. These files are available for use to create slide shows or documents. CDC and USPSTF recommend HIV screening at least once for all persons aged 15–65 years ( 417 ). , gonorrhea, syphilis, HIV, chlamydia, and trichomoniasis), if acquired after the neonatal period Apr 10, 2023 · Centers for Disease Control and Prevention These guidelines are primarily limited to the identification, prophylaxis, and treatment of STIs and conditions among adolescent and adult female sexual assault survivors. ). the syphilis epidemic continues to escalate – underscores that STIs must be a public health priority. 8 MB) is a groundbreaking, first-ever, five-year plan that. trachomatis serovars L1, L2, or L3 ( 539, 540 ). HIV, substance use, and viral hepatitis affect similar May 23, 2024 · Tables. These guidelines for the treatment of persons who have or are at risk for sexually transmitted infections (STIs) were updated by CDC after consultation with professionals knowledgeable in the field of STIs who met in Atlanta, Georgia, June 11–14, 2019. An outbreak is defined as the mean exceeding the expected norm of annual trends over the previous. The document, the first major update to the Today, CDC released Sexually Transmitted Infections (STI) Surveillance, 2022. AtlasPlus was created to provide an interactive platform for accessing data collected by CDC’s National Center for HIV, Viral Hepatitis, STD, and TB Prevention (NCHHSTP). Proctocolitis can be acquired through receptive anal intercourse or by oral-anal contact, depending on Mar 28, 2024 · This 4-page, printable brochure promotes syphilis prevention and testing among people who are pregnant and at higher risk for syphilis infection. STI prevention courses CDC TRAIN courses. Provides tables of evidence in the use of Doxycycline Post-Exposure Prophylaxis for bacterial STI prevention. Sexually Transmitted Diseases Treatment Guidelines, 2010. funded project area and all provinces in Canada. In 2018, ≈26 million new STI cases were reported in the United States; and in 2016, ≈376 million cases of chlamydia, gonorrhea, syphilis Sexually Transmitted Disease Surveillance 2018 presents statistics and trends for STDs in the United States through 2018. World Health Organization (WHO) estimates that more than 1 million people get an STI every day worldwide. Doxycycline Use and Adverse Events. HPV can cause cervical and other , including cancer of the vulva, vagina, penis, or anus. To see the type of information intended for these fields, see the national version of The State of STIs. Effective clinical management of patients with treatable Sexual Assault or Abuse of Children. Visit the STD Prevention Courses page to access the full range of resources. Courses were developed by the Centers for Disease Control and Prevention (CDC) programs, grantees, and other funded partners. According to the CDC, from 2013-2017: Syphilis cases nearly Oct 13, 2022 · The new app offers quick and easy access to streamlined STI prevention, diagnostic, and treatment recommendations. Official investigations, when indicated, should be initiated promptly. Infection. Reversing the Rise in STIs: Integrating Services to Address the Syndemic of STIs, HIV, Substance Use, and Viral Hepatitis. When the sores come into contact with the mouth, vagina, or rectum during sex, they increase the risk of giving or getting HIV if you or your partner has HIV. The Centers for Disease Control and Prevention (CDC) released updated Apr 19, 2024 · An essential part of a STD prevention strategy is to guarantee that the people you serve have the latest information on diseases that may affect them. May 28, 2024 · The Interstate Communication Control Record (ICCR) is a resource to help STI programs confidentially share information between domestic jurisdictions to conduct public health prevention activities. Persons at higher risk for HIV acquisition, including sexually active gay, bisexual, and Inquiries. Audiences: Community Based Organizations. Evidence-based prevention and treatment of sexually transmitted infections (STIs) continue to evolve. Included in these updated guidelines are new Jan 21, 2021 · Sexually Transmitted Infections (STI) are the most commonly reported diseases in Washington State. The new guidelines include notable updates from the . Call 800-232-4636 May 31, 2024 · Dear Colleague. Receiving Client-Specific Orders from a Registered Nurse with Certified Practice. 5. H219 Template - Notification of Contact to Sexually Transmitted Infection. PrEP is highly effective for preventing HIV when taken as prescribed. CDC has published Clinical Guidelines on the Use of Doxycycline Postexposure Prophylaxis for Bacterial Sexually Transmitted Infection Prevention — United States, 2024. However, sexually active gay, bisexual and other men who have sex with men (MSM) are at greater risk. Spaulding AC, Miller J, Trigg BG, et al. CDC is not responsible for the content of these sites. Anyone who has sex can get an STI. tinidazole 2 g orally 1x/day for 2 days OR tinidazole 1 g orally 1x/day for 5 days OR clindamycin 300 mg orally 2x/day for 7 days OR clindamycin Mar 5, 2024 · 2021 STI Treatment Guidelines – CDC's clinical guidance on prevention, diagnosis, and treatment. gov. Jun 5, 2016 · These guidelines for the treatment of persons who have or are at risk for sexually transmitted diseases (STDs) were updated by CDC after consultation with a group of professionals knowledgeable in the field of STDs who met in Atlanta on April 30–May 2,2013. Test if seeking evaluation and treatment for STIs. From the AFP Editors. Prevention and control of STIs are based on the following five major strategies [3]: Accurate risk assessment and education and counseling of persons at risk regarding ways to avoid STIs through changes in sexual behaviors and use of recommended prevention services; Pre-exposure vaccination Jul 23, 2021 · Dear Colleagues, CDC has released Sexually Transmitted Infections Treatment Guidelines, 2021. Fecal leukocytes might be detected on stool examination, depending on the pathogen. CDC's 2022 STI surveillance report underscores that STIs must be a public health priority. Terms and Abbreviations Used in This Report. pdf Subjects: [+] Series: Sexually transmitted disease Centers for Disease Control and Prevention Presence of objective signs of vulvovaginal inflammation in the absence of vaginal pathogens after laboratory testing indicates the possibility of mechanical, chemical, allergic, or other noninfectious causes of vulvovaginal signs or symptoms. Doxycycline Individual Level Harms – Antimicrobial Resistance. ca. Documentation of findings, collection of nonmicrobiologic specimens for forensic Jan 16, 2024 · Treatment. Today, CDC published clinical guidelines on counseling patients regarding doxycycline post-exposure prophylaxis (or doxy PEP) for bacterial sexually transmitted infection (STI) prevention. CDC’s 2022 STI Surveillance Report underscores that STIs must be a public health priority Yet again, more than 2. Self-Study STD Modules for Clinicians —Includes seven Apr 3, 2024 · There are 11 editable text fields in the PDF. This can include the base of the tongue and tonsils. Recommendations for Providing Quality STD Clinical Services (or STD QCS) highlights the services healthcare settings can offer to provide the highest-quality STD care to their patients. Except in settings where the prevalence of HCV infection is <0. The health impacts of sexually transmitted infections (STIs) can range from irritating to life-threatening. If STI Plan focuses on four of the STIs with the highest morbidity rates, the most persistent and pervasive STI inequalities according to national data, and the greatest impact on the health of the nation: chlamydia, gonorrhea, syphilis, and HPV. Pregnant Persons 1, 2, 3. Patients then provide partners with these The term “sexually transmitted infection” (STI) refers to a pathogen that causes infection through sexual contact, whereas the term “sexually transmitted disease” (STD) refers to a recognizable disease state that has developed from an infection. Department of Health and Human Services. Efficacy of Doxycycline as PEP to Prevent Bacterial STIs. s, 20224Table 31. , vaginal epithelial cells studded with adherent bacteria) on microscopic examination. What is syphilis? Syphilis is a sexually transmitted infection that can cause serious health problems if it is not treated. Penicillin G, administered parenterally, is the preferred drug for treating patients in all stages of syphilis. Jun 4, 2024 · The 2021 CDC STI treatment guidelines included a systematic review of the available literature on STI PrEP and PEP and concluded that further studies were necessary to determine whether STI chemoprophylaxis would be an effective strategy for bacterial STI prevention (6). Clue cells (e. The information in this report updates the 2015 guidelines. 69 KB] Feb 16, 2024 · Sexually transmitted diseases (STDs) develop as a result of an STI. ” Click to edit them. Jan 26, 2022 · The Division of STD Prevention offers a number of prevention courses and online training, some of which are listed below. a pathogen that causes infection through sexual contact, whereas the term “sexually transmitted disease” (STD) refers to a recognizable disease state that has developed from an infection. PLUS clindamycin 900 mg by IV every 8 hours gentamicin 2 mg/kg body weight by IV or IM FOLLOWED BY 1. We engage community, state, and national leaders and partners to serve the public and groups at higher risk of STIs and illness. e. Repeat testing may be needed. More than 2 dozen bacterial, viral, and parasitic pathogens can cause sexually transmitted infections (STIs). LGV can cause severe inflammation and invasive infection, in contrast with C. Management of children who have STIs requires close cooperation among clinicians, laboratorians, and child-protection authorities. Congenital Syphilis — Reported Cases and Rates of Reported Cases by State, Ranked by Rate. STD Awareness Month, observed each April, is an opportunity to raise awareness about what STDs are and how they impact our lives; and understand why it’s important to prevent, test for, and treat STDs. ermont1,281198. Recommendations for Providing Quality STD Clinical Services (STD QCS Proctocolitis is associated with symptoms of proctitis, diarrhea or abdominal cramps, and inflammation of the colonic mucosa extending to 12 cm above the anus. Physicians and other health care providers have a crucial role in preventing and treating STIs. Doxy PEP has proven to reduce the risk of getting a bacterial STI for gay, bisexual, and other men who have sex with men and transgender women at increased Clinical diagnosis of BV by Amsel criteria requires at least three of the following four symptoms or signs: Homogeneous, thin discharge (milklike consistency) that smoothly coats the vaginal walls. LGV is caused by C. Disease Control and Prevention (CDC) after consultation with a group of professionals knowledgeable in the field of STDs who met in Atlanta on September 26–28, 2000. Feb 18, 2020 · HIV is an STI. Screening Recommendations – An easy-to-scan chart of screening recommendations broken out by disease and patient population. Physicians and other health care providers have a crucial role in preventing and treating Children. Ceftriaxone, a third-generation cephalosporin, is recommended for gonorrhea treatment. Most people with STIs don't have obvious symptoms, but without treatment they can spread disease and possibly develop serious complications. national. – providing complete demographic, clinical, and behavioral information on an STD that is becoming increasingly Confidentiality Guidelines for HIV, Viral Hepatitis, Sexually Transmitted Disease, and Tuberculosis Programs: Standards to Facilitate Sharing and Use of Surveillance Data for Public Health Action. HIV ICCR contacts are also included. Everyone who is pregnant should be tested for syphilis, HIV, hepatitis B, and hepatitis C starting early in pregnancy. managed biomedical STI prevention strategy for a selected population. Pre-exposure prophylaxis (or PrEP) is medicine taken to prevent getting HIV. These resources share clinical guidance and information about sexually transmitted infections (STIs) and diseases (STDs). Mar 26, 2024 · At a glance. May 1, 2020 · Screening for STIs is recommended by the American Academy of Pediatrics (AAP), the Centers for Disease Control and Prevention (CDC), the US Preventive Services Task Force, the American Academy of Family Physicians (AAFP), and the American College of Obstetricians and Gynecologists (ACOG) 2–5 (); yet, screening rates for sexual health and STIs remain inadequately low in primary care and among This pocket guide reflects recommended regimens found in CDC’s Sexually Transmitted Infections Treatment Guidelines, 2021. Image: This serial updates the 2006 clinical guidelines for treating sexually transmitted diseases (STDs). And SSuN is the only supplemental data source that sheds light on population-level gonorrhea trends in the U. If M. aims to reverse the recent dramatic rise in STIs in the United States. Page count: 4. This annual publication is intended as a reference document for policy makers, program managers, health planners, researchers, and others who are concerned with the public health implications of these diseases. Information to assist programs manage data collection, information systems, and surveillance efforts Effective Interventions. States, 202252. , assessing the sexual behaviors that can place persons at risk for infection) and biologic risk (i. STD implies that the infection has led to some symptom of disease. S. STIs are among the most common infectious diseases reported worldwide. Learn more about activities and objectives underway at NCHHSTP. The National STD Curriculum is a free educational website from the University of Washington STD Prevention Training Center. This document provides guidelines on the use of post-exposure prophylaxis with doxycycline (doxy PEP) to prevent some bacterial STIs. Cancer often takes years, even decades, to develop after a person gets HPV. Users can also find ready-to-use STD curricular materials Jul 6, 2022 · The Sexually Transmitted Infections National Strategic Plan (STI Plan) (1. CDC's National Center for HIV, Viral Hepatitis, STD, and Tuberculosis Prevention is committed to a future free of HIV, Viral Hepatitis, STDs, and Tuberculosis. RR-1]). See below for a variety of training options, including STD clinical management courses, behavioral intervention training, courses for STD program staff, and more. gov or consult STD Clinical Consultation Network (https://www. 5 million cases of chlamydia, gonorrhea, and syphilis were reported in the United States Sexually Transmitted Infections Surveillance, 2022 provides the most current and complete data for nationally notifiable STIs for federally funded control programs. This project is funded by the Centers for Disease Control and Prevention (CDC). Overall, in 2022, more than 2. g. pH of vaginal fluid >4. The National STD Curriculum addresses the epidemiology, pathogenesis Centers for Disease Control and Prevention Initial empiric therapy for PID, which includes doxycycline 100 mg orally 2 times/day for 14 days, should be provided at the time of presentation for care. Syphilis – CDC Fact Sheet Syphilis is a sexually transmitted disease (STD) that can have very serious complications when left untreated, but it is simple to cure with the right treatment. Program Resources, Performance Measures and Program Operations Guidelines from the Division of STD P STD Informatics & Surveillance. <65 years: at least once (opt-out), annually if at risk. They all read “Edit here. Workgroup Members. This site addresses the epidemiology, pathogenesis, clinical manifestations, diagnosis, management, and Feb 26, 2021 · Expedited Partner Therapy (EPT) is the clinical practice of treating the sex partners of patients diagnosed with chlamydia or gonorrhea by providing prescriptions or medications to the patient to take to his/her partner without the health care provider first examining the partner. Language: English (US) Size: 3 MB. stitxguidelines@cdc. CDC provides STI clinical management courses, behavioral intervention training, and courses for STI program staff. Passport to Partner Services for Medical Providers and Referring Providers. The National STD Curriculum is a free educational Web site from the University of Washington STD Prevention Training Center and the University of Washington. When more than one therapeutic regimen is recommended, the sequence is in alphabetical order unless the choices for therapy are prioritized based on eficacy, cost Florida. trachomatis serovars A—K that cause mild or asymptomatic infection. CDC recommends that MSM and TGW who have had a bacterial STI (specifically syphilis, chlamydia, or gonorrhea) diagnosed in the past 12 months should receive counseling that doxy PEP can be used as postexposure prophylaxis to prevent these infections. Jul 22, 2021 · Retesting After Treatment to Detect Repeat Infections. m. The term “sexually transmitted infection” (STI) refers to a pathogen that causes infection through sexual contact, whereas the term “sexually transmitted disease” (STD) refers to a recognizable disease state that has developed from an infection. Spotlight training plans for disease intervention skills For questions about the updated CDC 2021 STI Treatment Guidelines, you can email the clinical team in CDC’s Division of Sexually Transmitted Diseases (STD) Prevention at . URL addresses listed were current as of the date of publication. MSM have higher rates of syphilis and make up more than half of all new STI and HIV Infection Risk Assessment. PrEP is less effective when not taken as prescribed. 5 mg/kg body weight every 8 hrs Can substitute with 3–5 mg/kg body weight 1x/day. Sexually Transmitted Disease Surveillance 2018. Certain diseases (e. vaginalis, the epidemiology of trichomoniasis has largely come from population-based and clinic-based surveillance Penicillin and other ß-lactam antibiotics have a crucial role in treating STIs. For women with persistent symptoms and no clear etiology, referral to a specialist should be considered. Publication Language: Centers for Disease Control and Prevention (CDC) / Agency for Toxic Substances and Disease Registry (ATSDR) B. The surge of STDs endangers the health of too many in the United States (U. This guide offers a framework for discussing sexual health issues to help complete the overall picture of your patient’s health. CDC Archive; Contact Us . The links in the Resources section below are ready-to-use PowerPoint 97 slide shows with captions for each photograph. The most recently available data from CDC pertaining to your state can be found in the 2022 STI Surveillance Report State Ranking Tables. Clinical manifestations of LGV can include GUD, lymphadenopathy, or proctocolitis. Syndemic Infographic FINAL 2022 Data 1-19-2024. , benzathine, aqueous procaine, or aqueous crystalline), dosage, and length of treatment depend on the stage and clinical manifestations of the disease. Download the free app for Apple and Android mobile devices. STI ICCR points of contact are available for each U. It can also cause cancer in the back of the throat (called oropharyngeal cancer). This project is funded by a grant from the Centers for Disease Control and Prevention (CDC). Primary prevention of STIs includes assessment of behavioral risk (i. 5 million cases of chlamydia, gonorr File Type: [PDF - 379. genitalium is detected, a regimen of moxifloxacin 400 mg orally once daily for 14 days has been effective in eradicating the organism. STD Webinars. These recommendations were developed by the Centers for Disease Control and Prevention (CDC) in consultation with professionals knowledgeable about the treatment of STDs. More than 25 other STIs – mainly spread by vaginal, anal, and oral sex. Source: Division of STD Prevention, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention. This summary is intended as a source of clinical guidance. You can also contact the CDPH STD Control Branch at stdcb@cdph. doxycycline 100 mg orally 2x/day for 14 days metronidazole 500 mg orally 2x/day for 14 days. Because trichomoniasis is not a reportable disease (1056), and no recommendations are available for general screening for T. References to non-CDC sites on the internet are provided as a service to readers and do not constitute or imply endorsement of these organizations or their programs by CDC or the U. Penicillin is recommended for all clinical stages of syphilis, and no proven alternatives exist for treating neurosyphilis, congenital syphilis, or syphilis during pregnancy. Our STI program staff can help answer questions. Atlanta (GA): U. Safe Use of 10% Potassium Hydroxide (KOH) in Screening for STI. You can customize the last page by adding your organization’s logo or contact information. The preparation used (i. Jul 23, 2021 · CDC updates sexually transmitted infections treatment guidelines. Lymphogranuloma Venereum (LGV) Print. te. 500 mg orally 2x/day for 7 days One 5 g applicator intravaginally 1x/day for 5 days One 5 g applicator intravaginally at bedtime for 7 days. Contact Us. Many are curable, others are treatable, all are preventable. When more than one therapeutic regimen is recommended, the sequence is in alphabetical order unless the choices for therapy are prioritized based on The Diagnosis, Management and Prevention of Syphilis: An Update and Review – A clinical guidance document for use in the diagnosis and management of syphilis. 5 million cases of syphilis, gonorrhea, and chlamydia were reported in the United States. H225 Template - Request for follow-up of Sexually Transmitted Infection - Index. Doxy PEP has proven to reduce the risk of getting a bacterial STI for gay, bisexual, and other men who have sex with men and transgender H219 / H225 Instructions. Since the study in 2015, there have been no new studies of STI PrEP, but Centers for Disease Control and Prevention CDC’s 2022 STI Surveillance Report underscores that STIs must be a public health priorityYet again, more than 2. Aug 11, 2021 · August 11, 2021, 8:55 a. Reported cases of sexually transmitted infections (STIs) have increased dramatically in recent years. Announcement Type: New - Type 1: This announcement is only for non-research activities supported by CDC. This document provides current evidence-based diagnostic, management, and treatment recommendations, and serves as a source of clinical guidance for managing sexually transmitted infections (STIs). About the National STD Curriculum. my xx ar ck jn bx av sq gc yf