Canadian Guidelines on Sexually Transmitted Infections - Updated January 2010

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To obtain an electronic copy of the full guidelines or individual chapters, send your request to:

Centre for Communicable Diseases and Infection Control
Public Health Agency of Canada
100 Eglantine Driveway
Tunney's Pasture
Ottawa, ON K1A 0K9
E-Mail: ccdic-clmti@phac-aspc.gc.ca

Table of Contents

• Section 1
  • Expert Working Group on 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
  • Collection and Transportation of Specimens
  • Laboratory Testing Methods
  • Laboratory Diagnosis of Specific Infections
• Section 4 - Management and Treatment of Specific Syndromes
  • Syndromic Management of Sexually Transmitted Infections
  • Epididymitis
  • Genital Ulcer Disease (GUD)
  • Pelvic Inflammatory Disease (PID)
  • Prostatitis
  • Sexually Transmitted Intestinal and Enteric Infections
  • Urethritis
  • Vaginal Discharge (Bacterial Vaginosis, Vulvovaginal Candidiasis, Trichomoniasis)
• 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
  • Gonococcal Infections
  • Hepatitis B Virus Infections
  • Human Immunodeficiency Virus Infections
  • Lymphogranuloma Venereum (LGV)
  • 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
  • Sexual Abuse in Peripubertal and Prepubertal Children
  • Sexual Assault in Postpubertal Adolescents and Adults
  • 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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