BEST PRACTICE GUIDE FOR THE DIAGNOSIS AND TREATMENT OF SEXUALLY TRANSMITTED INFECTIONS IN COUNTIES MANUKAU
INTRODUCTION
Counties Manukau District Health Board (CMDHB) has made improvement in sexual health in their community one of their priorities.
In the absence of full and complete guidelines from the New Zealand Guidelines Group (NZGG), CMDHB convened a working party derived from primary care (GP's, nurses and managers), sexual health (physician), pharmacy, family planning and school based health services (a GP visiting schools and a school based nurse). This group reviewed a local guide produced by Auckland Sexual Health Services, the British Association of Sexual Health and HIV Guidelines HERE and the Center for Disease Control (CDC) 2002 STD Treatment Guidelines HERE
Our guide is a Best Practice Guide of the Diagnosis and Treatment of Sexually Transmitted Infections in Counties Manukau. It has not gone through the robust process set out by the NZGG but is clearly based on 2 widely accepted guidelines which have been through similar processes.
Although this is the first guide to be produced in New Zealand covering diagnosis and treatment of the commonly seen sexually transmitted infections, it is important to note that in-depth guidelines on the management of genital herpes and HPV are available. These have been produced by the Professional Advisory Boards of the Viral Sexually Transmitted Infection Education Foundation and the Australian and New Zealand HPV Project, and provide extensive information regarding the management of these conditions. These guidelines can be accessed in printed form or online HERE or HERE
Best Practice Guide of the Diagnosis and Treatment of Sexually Transmitted Infections in Counties Manukau
Members of Sexual Health Best Practice Guide Group 2005 HERE
Complete CM Best Practice Guide HERE
Glossary of Acronyms HERE
Basic Sexual Health Check HERE
Algorithms for evaluation and treatment HERE
• Vaginal Discharge HERE
• Urethral Discharge HERE
• Genital Ulcers HERE
Quick Reference Chart HERE
STI's
Acute Urethritis in men HERE
Bacterial Vaginosis HERE
Candidiasis
• Acute HERE
• Recurrent HERE
Chlamydia HERE
Epididymo-orchitis HERE
Genital Herpes
• First Episode HERE
• Recurrent HERE
• HSV serology HERE
Genital warts HERE
Gonorrhoea HERE
Pelvic Inflammatory Disease (PID) HERE
Pubic Lice HERE
Scabies HERE
Syphilis HERE
Trichomoniasis HERE
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