The
on
411
STD’s
and
Amanda Gill, M.S.
STD Program Manager
South Dakota Department of Health
[email protected]
605-773-4794
EPT
Central DIS –
Trudy Eulberg R.N. (Dupree)
Molly Hausmann R. N. (Pierre)
Jannette Dewell R. N. (Pierre)
Angela Jackley R. N. (Pierre)
West DIS – in Rapid City
Vicky Docken R.N.
Dyla Jensen R.N.
Summer Gillespie
Northeast DIS –
Lori Wagers R.N. (Watertown)
Ashley Klatt R.N. (Watertown)
Greta Thorpe (Aberdeen)
Bridget Dean (Abderdeen)
Southeast DIS – in
Sioux Falls
Tiffany Peterson
Linda Petereit R.N.
Denise Gisi
Beth Johnson R.N.
Karen Dover R.N.
Michael Zielenski
Brett Oakland
Tips for the What,
How, Where, When, Who
 Have the “sex talk” with patients.
 Test based on symptoms, exposure, prior STD history, at risk populations, etc.
 Test based on body site of exposure.
 Know your testing options.
 Know your testing and treatment recomendations.
 Make the most of your urine.
 It’s ok to preventatively treat symptomatic persons.
 Talk about partners.
 Report patient and partner information to DOH, via the STD Report Form (HS-417).
Chlamydia—Rates by County, United States, 2011
2011 STD Surveillance Report
Chlamydia—Rates by County, United States, 2011
Gonorrhea—Rates by County, United States, 2011
2011 STD Surveillance Report
Gonorrhea—Rates by County, United States, 2011
* Data courtesy of Dr. Lon Kightlinger, State Epidemiologist
Primary and Secondary Syphilis—Rates by County,
United States, 2011
NOTE: In 2011, 2,154 (68.5%) of 3,142 counties in the United States reported no cases of primary and
secondary syphilis.
2011 STD Surveillance Report
Syphilis—Rates by County, United States, 2011
To brush up on
Syphilis check out the
following:
CDC information
www.cdc.gov/std/syphilis/default.htm
For Visual DX users
www.visualdx.com/visualdx/visualdx6/
search.do?q=syphilis
* Data courtesy of Dr. Lon Kightlinger, State Epidemiologist
If you are at risk/or have a STD, you are
also at risk for……
HIV
* Data courtesy of Christine Olson, HIV Program Manager
* Data courtesy of Christine Olson, HIV Program Manager
2010 STD Treatment Guidelines
http://www.cdc.gov/std/treatment/2010/default.htm
Chlamydia Regimens
Gonorrhea Regimens
Do You Hear What I Hear?
Syphilis Regimens
Primary, Secondary, Early Latent –
Benzathine penicillin G 2.4 million units IM in a single dose
Late Latent/Latent of Unknown Duration –
Benzathine penicillin G 7.2 million units total, administered as 3
doses of 2.4 million units IM each at 1-week intervals
Prevention, Education, & Treatment
THEN ….
…..AND
NOW.
Patient & Partner Management
 Abstain from sex for at least 7 days after treatment
 Re-testing recommendations
 Chlamydia – 3 to 4 months after treatment
 Gonorrhea – 3-4 months after treatment or 1 week after treatment with
alternative regimen
 Syphilis -- 6 and 12 months after treatment
 Stress importance
 Of not being treated
 Of not contacting all partners = re-infection
 All person’s diagnosed with a STD should be screened for HIV
 Discuss partner notification/treatment options




Patient notifies partner
Clinic notifies partner
Expedited Partner Therapy (EPT)
DOH assistance in notifying
Expedited Partner Therapy (EPT)
“Enables healthcare professionals to provide patients with either
antibiotics or prescriptions to their sex partner(s) without a visit by
the partner(s) to a health care provider. While the best way to treat
STD’s is for partners to receive testing, treatment, and counseling
from a primary care provider, EPT can be a useful and effective tool
for STD partner management.”
Recommended By:
American Medical Association
The Centers for Disease Control
American Public Health Association
American Academy of Pediatrics
American College of OBGYN
Society for Adolescent Medicine
National Coalition of STD Directors
American Bar Association
EPT IS OK!
(and it works!)
For more Info: Check out CDC’s EPT Sites
http://www.cdc.gov/std/ept/
http://www.cdc.gov/std/ept/legal/southdakota.htm
Based on S.D. Administrative Rule
44:20:03:01.
General measures for control of
communicable conditions.
http://legis.state.sd.us/rules/DisplayRule.aspx?Rule=44:20:03:01
EPT IS OK!
(and it works!)
Patients diagnosed with Chlamydia
and Gonorrhea who receive EPT are:
More likely to report that all of their sexual
partners were treated than those who told to
refer their partners for treatment
Less likely to report having sex with an
untreated partner
Less likely to be diagnosed with a repeat infection
at a follow up visit
Golden, Matthew R., et al. “Effects of Expedited Treatment of Sex Partners on Recurrence of Persistent Gonorrhea or
Chlamydia Infections.” New England Journal of Medicine. 2005; 352:7, 6767-85.
STD Program Can Help
Need more info?
Need Partner Packs?
Amanda Gill
[email protected]
605-773-4794
STD Program Manager
South Dakota Department of Health
http://www.itsyoursexlife.com/gyt/
https://www.facebook.com/GYTnow
Thanks Very Much!