PREVENTION
Prevention of STDS involves
educating patients about delaying sexual activity, limiting the number of
sexual partners, and the use of condoms. For some STDs, immu-nizations are
available to reduce or prevent transmission, including human papillomavirus
(HPV) and hepatitis B.
Patient notification is an
important part of prevention. When an STD is diagnosed, the patient’s sexual
partner(s) should also be evaluated. In the United States, cases of gon-orrhea,
chlamydial infection, and syphilis must be reported to local health
departments. Treatment of male sexual part-ners is important in the prevention
of reinfection with cer-tain STDs. Inexpedited partner therapy,a patient’s
sexualpartner receives drug therapy for an STD without undergoing physical
evaluation or testing. Although in most cases thisform of therapy does not
result in adverse reactions, it can pose a significant risk. Sexual partners
should always be encouraged to seek medical evaluation on their own. In some
states, expedited partner therapy is prohibited or restricted; therefore, it is
important for the clinical staff to be familiar with all local laws and
regulations.
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