Sexually Transmitted Diseases in the Emergency Department

Emerg Med Clin North Am. 2019 May;37(2):165-192. doi: 10.1016/j.emc.2019.01.001.

Abstract

Sexually transmitted diseases (STDs) continue to be underrecognized leading to devastating health and economic consequences. Emergency clinicians play an important role in diagnosing and managing STDs and in improving health care outcomes for both the patient and their partners. In addition, antibiotic resistance and emerging infections continue to challenge providers in clinical practice. This review focuses on the cause, history, physical examination, diagnostic studies, and treatment strategies for bacterial vaginosis, chlamydia, genital herpes, gonorrhea, human papillomavirus, granuloma inguinale, Lymphogranuloma Venereum, Mycoplasma genitalium, syphilis, and trichomoniasis.

Keywords: Chlamydia; Expedited partner therapy; Gonorrhea; STD; Sexually transmitted disease.

Publication types

  • Review

MeSH terms

  • Anti-Infective Agents / therapeutic use
  • Chlamydia Infections / diagnosis
  • Chlamydia Infections / drug therapy
  • Emergency Service, Hospital*
  • Female
  • Gonorrhea / diagnosis
  • Gonorrhea / therapy
  • Granuloma Inguinale / diagnosis
  • Granuloma Inguinale / drug therapy
  • Herpes Genitalis / diagnosis
  • Herpes Genitalis / drug therapy
  • Humans
  • Male
  • Sexual Partners
  • Sexually Transmitted Diseases / diagnosis*
  • Sexually Transmitted Diseases / drug therapy
  • Syphilis / diagnosis
  • Syphilis / drug therapy
  • Trichomonas Vaginitis / diagnosis
  • Trichomonas Vaginitis / drug therapy
  • Vaginosis, Bacterial / diagnosis
  • Vaginosis, Bacterial / drug therapy

Substances

  • Anti-Infective Agents