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August 14, 1987, Vol 258, No. 6 >
ARTICLE | August 14, 1987

Preventive Strategies in Sexually Transmitted Diseases for the Primary Care Physician FREE

Charles R. Horsburgh, Jr, MD; John M. Douglas, MD; F. Marc LaForce, MD
[+] Author Affiliations

Reprint requests to Denver General Hospital—0150, 777 Bannock St, Denver, CO 80204-4507 (Dr Horsburgh).


JAMA. 1987;258(6):814-821. doi:10.1001/jama.1987.03400060090037
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Article
References

This study provides the background recommendations of the US Preventive Services Task Force for interventions by primary care physicians to prevent sexually transmitted diseases. Rationale for and data supporting use of barrier methods, epidemiologic treatment, contact tracing, patient education, prophylactic antibiotics, and disease reporting are discussed. Specific recommendations include those for gonorrhea, syphilis, human immunodeficiency virus infection, enteric infections, human papillomavirus infection, herpes simplex virus infection, and Chlamydia trachomatis infection.

(JAMA 1987;258:814-821)

REFERENCES

1 +
Jaffe HW, Rice DT, Voight R, et al:  Selective mass treatment in a venereal disease control program . Am J Public Health 1979;;64:1181-1182.
2 +
Moore MB, Price EV, Knox JM, et al:  Epidemiologic treatment of contacts to infectious syphilis . Public Health Rep 1963;;78:966-970.
3 +
Johnson RE:  Epidemiologic and prophylactic treatment of gonorrhea . Sex Transm Dis 1979;;6: 159-167.
4 +
Willcox RR:  'Epidemiological' treatment in nonvenereal and in treponemal diseases . Br J Vener Dis 1973;;49:107-115.
5 +
 Chlamydia trachomatis infections: Policy guidelines for prevention and control . MMWR 1985;;34S( (suppl) ):53S-74S.
6 +
Potterat JJ, Rothenberg R:  The case-finding effectiveness of a self-referral system for gonorrhea . Am J Public Health 1977;;67:174-176.
7 +
Hart G:  Factors influencing venereal infection in a war environment . Br J Vener Dis 1974;;50:68-72.
8 +
Barlow D:  The condom and gonorrhea . Lancet 1977;;2:811-813.
9 +
Edwards WM:  A study of progonasyl using prostitutes in Nevada's legal houses of prostitution . JReprod Med 1973;;11:81
10 +
Jick H, Hannan MT, Stergachis A, et al:  Vaginal spermicides and gonorrhea . JAMA 1982;; 248:1619-1621.
11 +
Austin H, Louv WC, Alexander J:  A case-control study of spermicides and gonorrhea . JAMA 1984;;251:2822-2824.
12 +
Vaughn CL, Freiberg AD:  A pilot study of the navy's educational program on venereal disease . Am J Syph 1950;;34:476-480.
13 +
Kroger F, Wiesner PJ:  STD education . J Sch Health 1981;;51:242-246.
14 +
Hook EW, Holmes KK:  Gonococcal infections . Ann Intern Med 1985;;102:229-243.
15 +
Westrom L:  Effect of acute pelvic inflammatory disease on fertility . Am J Obstet Gynecol 1975;;121: 707-713.
16 +
Washington AE, Arno PS:  The economic cost of pelvic inflammatory disease . JAMA 1986;;225: 1735-1738.
17 +
Hart G:  Screening to control infectious diseases . Rev Infect Dis 1980;;2:701-712.
18 +
Rothenberg R:  Ophthalmia neonatorum due to Neisseria gonorrhoeae . Sex Transm Dis 1979;;6: S187-S191.
19 +
Bernstein GA, Davis JP, Katcher ML:  Prophylaxis of neonatal conjunctivitis . Clin Pediatr 1982;; 21:545-550.
20 +
Stray-Pedersen B:  Economic evaluation of material screening to prevent congenital syphilis . Sex Transm Dis 1983;;10:167-172.
21 +
Williams K:  Screening for syphilis in pregnancy: An assessment of the costs and benefits . Community Med 1985;;7:37-42.
22 +
 Provisional Public Health Service inter-agency recommendations for screening donated blood and plasma for antibody to the virus causing acquired immunodeficiency syndrome . MMWR 1985;;34:1-5.
23 +
Corey L, Holmes KK:  Sexual transmission of hepatitis A in homosexual men . N Engl J Med 1980;;302:435-438.
24 +
Krugman S, Ward R, Giles JP, et al:  Infectious hepatitis . JAMA 1960;;174:823-830.
25 +
Mounts P, Shah KV:  Respiratory papillomatosis: Etiological relation to genital tract papillomaviruses . Prog Med Virol 1984;;29:90-114.
26 +
Crum CP, Ikenberg H, Richart RM, et al:  Human papillomavirus type 16 and early cervical neoplasia . N Engl J Med 1984;;310:880-883.
27 +
Durst M, Gissman L, Ikenberg H, et al:  A papillomavirus DNA from a cervical carcinoma and its prevalence in cancer biopsy samples from different geographic regions . Proc Natl Acad Sci USA 1983;;80:3812-3815.
28 +
Cook GA, Draper GJ:  Trends in cervical cancer and carcinoma in situ in Great Britain . Br J Cancer 1984;;50:367-75.
29 +
Burk RB, Kadish AS, Calderin S, et al:  Human papillomavirus infection of the cervix detected by cervicovaginal lavage and molecular hybridization; correlation with biopsy results and Papanicolaou smear . Am J Obstet Gynecol 1986;;154:982-989.
30 +
Campion MJ, Singer A, Clarkson PK, et al:  Increased risk of cervical neoplasia in consorts of men with penile condylomata acuminata . Lancet 1985;;1:943-946.
31 +
Levine RU, Crum CP, Herman E, et al:  Cervical papillomavirus infection and intraepithelial neoplasia: A study of male sexual partners . Obstet Gynecol 1984;;64:16-20.
32 +
Corey L, Adams HG, Brown ZA, et al:  Genital herpes simplex virus infections: Clinical manifestations, course, and complications . Ann Intern Med 1983;;98:958-972.
33 +
Zur Hausen H:  Human genital cancer: Synergism between two virus infections or synergism between a virus infection and initiating events . Lancet 1982;;2:1370-1372.
34 +
Whitley RJ, Nahmias AJ, Visintine AM, et al:  The natural history of herpes simplex virus infection of mother and newborn . Pediatrics 1980;;66: 489-494.
35 +
Nahmias AJ, Josey WE, Naib ZM, et al:  Perinatal risk associated with maternal genital herpes simplex virus infection . Am J Obstet Gynecol 1971;;110:825-837.
36 +
Brown ZA, Vontver LA, Benedetti J, et al:  Genital herpes in pregnancy: Risk factors associated with recurrences and asymptomatic viral shedding . Am J Obstet Gynecol 1985;;153:24-30.
37 +
Nahmias AJ, Keyserling HL, Kerrick GM:  Herpes simplex , in Remington JS, Klein JO (eds): Infectious Diseases of the Fetus and Newborn Infant . Philadelphia, WB Saunders Co, 1983;, pp 636-678.
38 +
Binkin NJ, Kaplan JP, Cates W:  Preventing neonatal herpes: The value of weekly viral cultures in pregnant women with recurrent genital herpes . JAMA 1984;;251:2816-2821.
39 +
Arvin AM, Hensleigh PA, Prober CG, et al:  Failure of antepartum maternal cultures to predict the infant's risk of exposure to herpes simplex virus at delivery . N Engl J Med 1986;;315:796-800.
40 +
Guinan ME:  Oral acyclovir for treatment and suppression of genital herpes simplex virus infection: A review . JAMA 1986;;255:1747-1749.
41 +
Thompson SE, Washington AE:  Epidemiology of sexually transmitted Chlamydia trachomatis infections . Epidemiol Rev 1983;;5:96-123.
42 +
Handsfield HH, Jasman LL, Roberts PL, et al:  Criteria for selective screening of Chlamydia trachomatis infection in women attending family planning clinics . JAMA 1986;;255:1730-1734.
43 +
Hammerschlag MR, Chandler JW, Alexander ER, et al:  Erythromycin ointment for ocular prophylaxis of neonatal chlamydial infection . JAMA 1980;;244:2291-2293.
44 +
LaForce FM:  Immunizations, immunoprophylaxis, and chemoprophylaxis to prevent selected infections . JAMA 1987;;257:2464-2470.

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

1 +
Jaffe HW, Rice DT, Voight R, et al:  Selective mass treatment in a venereal disease control program . Am J Public Health 1979;;64:1181-1182.
2 +
Moore MB, Price EV, Knox JM, et al:  Epidemiologic treatment of contacts to infectious syphilis . Public Health Rep 1963;;78:966-970.
3 +
Johnson RE:  Epidemiologic and prophylactic treatment of gonorrhea . Sex Transm Dis 1979;;6: 159-167.
4 +
Willcox RR:  'Epidemiological' treatment in nonvenereal and in treponemal diseases . Br J Vener Dis 1973;;49:107-115.
5 +
 Chlamydia trachomatis infections: Policy guidelines for prevention and control . MMWR 1985;;34S( (suppl) ):53S-74S.
6 +
Potterat JJ, Rothenberg R:  The case-finding effectiveness of a self-referral system for gonorrhea . Am J Public Health 1977;;67:174-176.
7 +
Hart G:  Factors influencing venereal infection in a war environment . Br J Vener Dis 1974;;50:68-72.
8 +
Barlow D:  The condom and gonorrhea . Lancet 1977;;2:811-813.
9 +
Edwards WM:  A study of progonasyl using prostitutes in Nevada's legal houses of prostitution . JReprod Med 1973;;11:81
10 +
Jick H, Hannan MT, Stergachis A, et al:  Vaginal spermicides and gonorrhea . JAMA 1982;; 248:1619-1621.
11 +
Austin H, Louv WC, Alexander J:  A case-control study of spermicides and gonorrhea . JAMA 1984;;251:2822-2824.
12 +
Vaughn CL, Freiberg AD:  A pilot study of the navy's educational program on venereal disease . Am J Syph 1950;;34:476-480.
13 +
Kroger F, Wiesner PJ:  STD education . J Sch Health 1981;;51:242-246.
14 +
Hook EW, Holmes KK:  Gonococcal infections . Ann Intern Med 1985;;102:229-243.
15 +
Westrom L:  Effect of acute pelvic inflammatory disease on fertility . Am J Obstet Gynecol 1975;;121: 707-713.
16 +
Washington AE, Arno PS:  The economic cost of pelvic inflammatory disease . JAMA 1986;;225: 1735-1738.
17 +
Hart G:  Screening to control infectious diseases . Rev Infect Dis 1980;;2:701-712.
18 +
Rothenberg R:  Ophthalmia neonatorum due to Neisseria gonorrhoeae . Sex Transm Dis 1979;;6: S187-S191.
19 +
Bernstein GA, Davis JP, Katcher ML:  Prophylaxis of neonatal conjunctivitis . Clin Pediatr 1982;; 21:545-550.
20 +
Stray-Pedersen B:  Economic evaluation of material screening to prevent congenital syphilis . Sex Transm Dis 1983;;10:167-172.
21 +
Williams K:  Screening for syphilis in pregnancy: An assessment of the costs and benefits . Community Med 1985;;7:37-42.
22 +
 Provisional Public Health Service inter-agency recommendations for screening donated blood and plasma for antibody to the virus causing acquired immunodeficiency syndrome . MMWR 1985;;34:1-5.
23 +
Corey L, Holmes KK:  Sexual transmission of hepatitis A in homosexual men . N Engl J Med 1980;;302:435-438.
24 +
Krugman S, Ward R, Giles JP, et al:  Infectious hepatitis . JAMA 1960;;174:823-830.
25 +
Mounts P, Shah KV:  Respiratory papillomatosis: Etiological relation to genital tract papillomaviruses . Prog Med Virol 1984;;29:90-114.
26 +
Crum CP, Ikenberg H, Richart RM, et al:  Human papillomavirus type 16 and early cervical neoplasia . N Engl J Med 1984;;310:880-883.
27 +
Durst M, Gissman L, Ikenberg H, et al:  A papillomavirus DNA from a cervical carcinoma and its prevalence in cancer biopsy samples from different geographic regions . Proc Natl Acad Sci USA 1983;;80:3812-3815.
28 +
Cook GA, Draper GJ:  Trends in cervical cancer and carcinoma in situ in Great Britain . Br J Cancer 1984;;50:367-75.
29 +
Burk RB, Kadish AS, Calderin S, et al:  Human papillomavirus infection of the cervix detected by cervicovaginal lavage and molecular hybridization; correlation with biopsy results and Papanicolaou smear . Am J Obstet Gynecol 1986;;154:982-989.
30 +
Campion MJ, Singer A, Clarkson PK, et al:  Increased risk of cervical neoplasia in consorts of men with penile condylomata acuminata . Lancet 1985;;1:943-946.
31 +
Levine RU, Crum CP, Herman E, et al:  Cervical papillomavirus infection and intraepithelial neoplasia: A study of male sexual partners . Obstet Gynecol 1984;;64:16-20.
32 +
Corey L, Adams HG, Brown ZA, et al:  Genital herpes simplex virus infections: Clinical manifestations, course, and complications . Ann Intern Med 1983;;98:958-972.
33 +
Zur Hausen H:  Human genital cancer: Synergism between two virus infections or synergism between a virus infection and initiating events . Lancet 1982;;2:1370-1372.
34 +
Whitley RJ, Nahmias AJ, Visintine AM, et al:  The natural history of herpes simplex virus infection of mother and newborn . Pediatrics 1980;;66: 489-494.
35 +
Nahmias AJ, Josey WE, Naib ZM, et al:  Perinatal risk associated with maternal genital herpes simplex virus infection . Am J Obstet Gynecol 1971;;110:825-837.
36 +
Brown ZA, Vontver LA, Benedetti J, et al:  Genital herpes in pregnancy: Risk factors associated with recurrences and asymptomatic viral shedding . Am J Obstet Gynecol 1985;;153:24-30.
37 +
Nahmias AJ, Keyserling HL, Kerrick GM:  Herpes simplex , in Remington JS, Klein JO (eds): Infectious Diseases of the Fetus and Newborn Infant . Philadelphia, WB Saunders Co, 1983;, pp 636-678.
38 +
Binkin NJ, Kaplan JP, Cates W:  Preventing neonatal herpes: The value of weekly viral cultures in pregnant women with recurrent genital herpes . JAMA 1984;;251:2816-2821.
39 +
Arvin AM, Hensleigh PA, Prober CG, et al:  Failure of antepartum maternal cultures to predict the infant's risk of exposure to herpes simplex virus at delivery . N Engl J Med 1986;;315:796-800.
40 +
Guinan ME:  Oral acyclovir for treatment and suppression of genital herpes simplex virus infection: A review . JAMA 1986;;255:1747-1749.
41 +
Thompson SE, Washington AE:  Epidemiology of sexually transmitted Chlamydia trachomatis infections . Epidemiol Rev 1983;;5:96-123.
42 +
Handsfield HH, Jasman LL, Roberts PL, et al:  Criteria for selective screening of Chlamydia trachomatis infection in women attending family planning clinics . JAMA 1986;;255:1730-1734.
43 +
Hammerschlag MR, Chandler JW, Alexander ER, et al:  Erythromycin ointment for ocular prophylaxis of neonatal chlamydial infection . JAMA 1980;;244:2291-2293.
44 +
LaForce FM:  Immunizations, immunoprophylaxis, and chemoprophylaxis to prevent selected infections . JAMA 1987;;257:2464-2470.

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