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The 411 Amanda Gill, M.S. STD Program Manager South Dakota Department of Health on STD’s and.

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Presentation on theme: "The 411 Amanda Gill, M.S. STD Program Manager South Dakota Department of Health on STD’s and."— Presentation transcript:

1 The 411 Amanda Gill, M.S. STD Program Manager South Dakota Department of Health amanda.gill@state.sd.usamanda.gill@state.sd.us605-773-4794 on STD’s and EPT

2 Central DIS – Trudy Eulberg R.N. (Dupree) Molly Hausmann R. N. (Pierre) Jannette Dewell R. N. (Pierre) Angela Jackley R. N. (Pierre) 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 West DIS – in Rapid City Vicky Docken R.N. Dyla Jensen R.N. Summer Gillespie

3 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).

4 Chlamydia—Rates by County, United States, 2011 2011 STD Surveillance Report

5 Chlamydia—Rates by County, United States, 2011

6 Gonorrhea—Rates by County, United States, 2011 2011 STD Surveillance Report

7 Gonorrhea—Rates by County, United States, 2011

8 * Data courtesy of Dr. Lon Kightlinger, State Epidemiologist

9 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

10 ? Syphilis—Rates by County, United States, 2011

11 To brush up on Syphilis check out the following: CDC information www.cdc.gov/std/syphilis/default.htm www.cdc.gov/std/syphilis/default.htm For Visual DX users www.visualdx.com/visualdx/visualdx6/ search.do?q=syphilis www.visualdx.com/visualdx/visualdx6/ search.do?q=syphilis * Data courtesy of Dr. Lon Kightlinger, State Epidemiologist

12 If you are at risk/or have a STD, you are also at risk for…… * Data courtesy of Christine Olson, HIV Program Manager HIV

13 * Data courtesy of Christine Olson, HIV Program Manager

14 2010 STD Treatment Guidelines http://www.cdc.gov/std/treatment/2010/default.htm

15 Chlamydia Regimens

16 Gonorrhea Regimens

17 Do You Hear What I Hear?

18

19 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

20 Prevention, Education, & Treatment THEN ….

21 …..AND NOW.

22 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

23 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

24 EPT IS OK! (and it works!) Patient Delivered Therapy (PDT) Given meds or a script Script called into pharmacy Pick up meds at providers office – “quick visit” No need for exam or the expense Dept. of Health – DIS office walk-in’s 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 For more Info: Check out CDC’s EPT Sites http://www.cdc.gov/std/ept/ http://www.cdc.gov/std/ept/legal/southdakota.htm

25 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.

26 STD Program Can Help Need more info? Need Partner Packs? Amanda Gill amanda.gill@state.sd.us 605-773-4794 STD Program Manager South Dakota Department of Health

27 Thanks Very Much! http://www.itsyoursexlife.com/gyt/ https://www.facebook.com/GYTnow


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