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Morbidity and Mortality Weekly Report
Recommendations and Reports August 4, 2006 / Vol. 55 / No. RR-11

Sexually Transmitted Diseases Treatment Guidelines, 2006

department services department of health and human services
Centers for Disease Control and Prevention

MMWR
CONTENTSIntroduction ..................................................................................... 1 Methods .......................................................................................... 1 Clinical Prevention Guidance ............................................................ 2 STD/HIV Prevention Counseling ..................................................... 3 Prevention Methods...................................................................... 3 Partner Management .................................................................... 5 Reporting and Confidentiality ........................................................ 6 Special Populations .......................................................................... 6 Pregnant Women.......................................................................... 6 Adolescents .................................................................................. 8 Children ....................................................................................... 9 MSM ............................................................................................ 9 Women Who Have Sex with Women (WSW) ................................. 10HIV Infection: Detection, Counseling, and Referral .......................... 10 Diseases Characterized by Genital Ulcers ....................................... 14 Management of Patients Who Have Genital Ulcers ....................... 14 Chancroid ................................................................................... 15 Genital HSV Infections................................................................. 16 Granuloma Inguinale (Donovanosis) ........................................... 20 Lymphogranuloma Venereum ...................................................... 21 Syphilis ....................................................................................... 22 Congenital Syphilis ........................................................................ 30 Evaluationand Treatment of Infants During the First Month of Life 30 Evaluation and Treatment of Older Infants and Children .............. 32 Management of Patients Who Have a History of Penicillin Allergy .... 33 Diseases Characterized by Urethritis and Cervicitis .......................... 35 Management of Male Patients Who Have Urethritis ...................... 35 Management of Patients Who HaveCervicitis ............................... 37 Chlamydial Infections .................................................................. 38 Gonococcal Infections ................................................................. 42 Diseases Characterized by Vaginal Discharge ................................. 49 Bacterial Vaginosis ...................................................................... 50Trichomoniasis ............................................................................ 52 Vulvovaginal Candidiasis ............................................................. 54 Pelvic Inflammatory Disease ........................................................... 56 Epididymitis ................................................................................... 61 HPV Infection................................................................................. 62 Genital Warts ................................................................................. 62 Cervical Cancer Screening for Women Who Attend STD Clinics or Have a History of STDs .......................................... 67 Vaccine Preventable STDs ............................................................... 69...