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throughsexualcontactCHAPTERRELATIONSHIPBETWEENSTISsANDHIVEffectofSTIonHIVEffectofHIVonSTICHAPTERAPPROACHESTO STICASEMANAGEMENTIntroductiontoFlowChartsAssessmentofPatientswithSTIsCHAPTER4ISBNCopyright.OMorethanamillionpeopleacquirea sexuallytransmittedinfection(STI)everyday:KEYPOINTSFORACTIONCHAPTERINTRODUCTIONBackgroundEpidemiologyofSTIsPublicHealth ImpactofSTIsINFECTIONS(STIs)TheimportanceofarenewedcommitmenttoSTIpreventionandcontrolinachievingglobalsexualandreproductivehealth CHAPTERRELATIONSHIPBETWEENSTISsANDHIVEffectofSTIWhataresexuallytransmittedinfections(STIs)?InonestudyinNamibianoSTI infectionsweredetectedmanagingsexuallytransmittedinfections(STI)indevelopingcountriesGWhatSexualbehaviourpatterns–STIinfectionsinadolescent femaleshavebeenassociatedwithcontactwitholderpartnersItisacomprehensiveapproachagainstSTIsthatcombinesclinicalcarewithinterventionsto UpdatingtheSTIguidelinesanduserfeedbackImplementationconsiderationsSurveillanceandresearchneedsChallengesinSTIsurveillanceandThistechnicalnote wasdevelopedtoprovideWorldBanktechnicalstaffabackgroundinSTIburden,economiccosts,evidenced-basedSTIprogrammaticinterventions.These guidelinesprovideupdated,evidence-informedclinicalandpracticalrecommendationsonthecasemanagementofpeoplewithsymptomsofsexuallytransmitted infections(STIs)andsupportcountriesinupdatingtheirnationalguidelinesforthecasemanagementofpeoplewithsymptomsofSTIsChallengesinSTI surveillanceandanticipatedresponsesResearchneedsinSTIcasemanagementReferencesAnnexSTIGuidelineDevelopmentGroupAnnexlarationsofconflictsof interestAnnexEvidence-to-isiontable:urethraldischargeAnnexEvidence-to-isiontable:vaginaldischargeWhataresexuallytransmittedinfections(STIs),andwhy aretheyimportant?HIVisanSTIMorethanotherSTIs–mainlyspreadbyvaginal,anal,andoralsexWorldHealthOrganization(WHO)estimatesthatmore thanmillionpeoplegetanSTIeverydayworldwideCDC’sSexuallyTransmittedInfections(STI)TreatmentGuidelines,providescurrentevidence-based prevention,diagnosticandtreatmentrecommendationsthatreplacetheguidanceTherecommendationsareintendedtobeasourceforclinicalguidance HealthcareprovidersshouldalwaysassesspatientsbasedontheirclinicalNewThisguideincludesthecurrentSTIsyndromicmanagementalgorithmsThisreview willdetailimportantpointsandreferenceimportantarticlesforphysiciansandotherhealthcareprofessionalstouseinevaluatingandtreatingpatientswithsignsand symptomssuggestiveofsexuallytransmittedinfectionsSexuallytransmittedinfections(ordiseases)(STIsorSTDs):Infectionspassedfrompersontoperson INTRODUCTIONBackgroundEpidemiologyofSTIsPublicHealthImpactofSTIsSTIs:LARGEBURDENANDSERIOUSCONSEQUENCESGGlobal estimatesofSTIsinadolescentsGWhatarethefactorscontributingtoSTIsinadolescents?GPAthereforecarriedoutarangeofactivitiesduringaimedat developingandsupportingofSTItherapyforeachdiseaseorinfection)treatmentofinfectiononthebasisofmicrobiologiceradication;2)alleviationofsignsand symptoms;3)preventionofsequelae;and4)preventionoftransmission,includingadvantages(eg,cost-effectiveness,single-doseformulations,anddirectly SEXUALLYTRANSMITTEDSTIsarepreventableandmanyaretreatableEarlyaccesstocarehelpspreventfurtherSTDsisamajorstrategyforpreventing HIVinfectionandhenceAIDS