Diagnosis and Treatment of Sexually Transmitted Infections in Urgent Care | Points & Pearls
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Diagnosis and Treatment of Sexually Transmitted Infections in Urgent Care (Pharmacology CME and Infectious Disease CME)

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Points & Pearls Excerpt

  • The CDC estimates that there are 26.2 million new sexually transmitted infection (STI) diagnoses each year, which presents not only a massive public health challenge, but represents $16 billion in direct costs to the healthcare system.
  • Patients can present with multiple concurrent STIs. Avoid premature diagnostic closure and consider multiple simultaneous processes.
  • Urinary tract infections (UTIs) and STIs can present similarly, though UTIs are arguably less common in males than females due to a comparatively longer urethra. Point-of-care testing and a urogenital/pelvic examination may be indicated to avoid misdiagnosis.
  • Chlamydia is the most common bacterial STI. The diagnostic test of choice is nucleic acid amplification testing (NAAT). Treat with doxycycline, but azithromycin could be used if necessary. Table 7 reviews the medications and dosages for this and other common STIs.
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Publication Information
Editor in Chief & Update Author

Keith Pochick, MD, FACEP: Editor-in-Chief
Benjamin A. Silverberg, MD, MSc, FAAFP, FCUCM: Update Author

Urgent Care Peer Reviewer

Jordan Harry, MD; Aimee Mishler, PharmD, BCPS; James B. Short, Jr., MD, FAAFP, FCUCM; Amy J. Smith, DNP-C, MS, APRN, AGACNP-BC, FNP-BC

Charting Commentator

Brad Laymon, PA-C, CPC, CEMC

Publication Date

March 1, 2023

CME Expiration Date

March 1, 2026    CME Information

CME Credits

4 AMA PRA Category 1 Credits™. 4 AOA Category 2-A or 2-B Credits.
Specialty CME Credits: Included as part of the 4 credits, this CME activity is eligible for 3 Pharmacology and 4 Infectious Disease CME credits

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