Canadian Guidelines on Sexually Transmitted Infections

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Table of Contents

• Section 1
  • Expert Working Group for the Canadian Guidelines on Sexually Transmitted Infections
  • Acknowledgements
  • Introduction
  • Levels and Quality of Evidence for Treatment Recommendations
  • Important considerations for Guidelines users
• Section 2 - Primary Care and Sexually Transmitted Infections
  1. Assessing the reason for a consultation
  2. Knowing about STI risk factors and epidemiology
  3. Performing a brief patient history and STI risk assessment
  4. Providing patient-centred education and counselling
  5. Performing a physical examination
  6. Selecting appropriate screening/testing
  7. Diagnosing by syndrome or by organism and post-test counselling
  8. Treating
  9. Reporting to public health and partner notification
  10. Managing co-morbidity and associated risks
  11. Following up
• Section 3 - Laboratory Diagnosis of Sexually Transmitted Infections (Revised December 2016)
  • General principles
  • Test sensitivity, specificity and predictive values
  • Standard collection and transportation recommendations
  • Medico-legal considerations
  • Genital and extra-genital specimen collection
  • Diagnosis of specific infections
• Section 4 - Management and Treatment of Specific Syndromes
  • Syndromic Management of Sexually Transmitted Infections
  • Epididymitis
    • Supplementary statement for recommendations related to the diagnosis, management, and follow-up of Epididymitis: March 2014
  • Genital Ulcer Disease (GUD)
  • Pelvic Inflammatory Disease (PID)
    • Supplementary statement for recommendations related to the diagnosis, management, and follow-up of Pelvic Inflammatory Disease: March 2014
  • Prostatitis
  • Sexually Transmitted Intestinal and Enteric Infections
    • Supplementary statement for recommendations related to the diagnosis, management, and follow-up of Sexually Transmitted Proctitis: March 2014
  • Urethritis
    • Supplementary statement for recommendations related to the diagnosis, management, and follow-up of Urethritis: March 2014
  • Vaginal Discharge (Bacterial Vaginosis, Vulvovaginal Candidiasis, Trichomoniasis)
    • Supplementary statement for recommendations related to the diagnosis, management, and follow-up of Vaginal Discharge: March 2014
• Section 5 - Management and Treatment of Specific Infections
  • Chancroid
  • Chlamydial Infections
  • Ectoparasitic Infestations (Pubic Lice, Scabies)
  • Genital Herpes simplex virus (HSV) Infections
  • Genital Human Papillomavirus (HPV) Infections (Revised December 2014)
  • Gonococcal Infections (Revised July 2013)
    • Summary - Diagnosis and Management of Gonococcal Infections 2013
  • Hepatitis B Virus Infections
  • Human Immunodeficiency Virus Infections
  • Lymphogranuloma Venereum (LGV)
    • Supplementary statement concerning the laboratory diagnosis of Lymphogranuloma Venereum (LGV): October 2014
  • Syphilis
• Section 6 - Specific Populations
  • Immigrants and Refugees
  • Inmates and Offenders
  • Men Who Have Sex with Men (MSM)/Women Who Have Sex with Women (WSW)
  • Pregnancy
    • Supplementary statement for recommendations related to the diagnosis, management, and follow-up of Pregnant Women: March 2014
  • Sexual Abuse in Peripubertal and Prepubertal Children
    • Supplementary statement for the management and follow-up of sexual abuse in peripubertal and prepubertal children: October 2014
  • Sexual Assault in Postpubertal Adolescents and Adults
    • Supplementary statement for the management and follow-up of sexual assault in postpubertal adolescents and adults: October 2014
  • Sex Workers
  • Substance Use
  • Travellers
• Section 7 - Appendices
  • Appendix A: Patient Counselling Guide on Condom Use
  • Appendix B: How to Use a Male/Condom How to Use a Female Condom
  • Appendix C: Resources and Reference Tools for Health Professionals
  • Appendix D: Provincial and Territorial Directors of STI Control
  • Appendix E: Provincial Laboratories
  • Appendix F: Forensic Evidence, Services and Laboratories
  • Appendix G: Referral Centres for STIs in Peripubertal and Prepubertal Children
  • Appendix H: Tanner Scale of Sexual Maturity

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