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Many infections can be transmitted during sexual contact. The text and tables that follow are limited to management of sexually transmitted infections (STIs) other than HIV, viral hepatitis and enteric infections. The drugs of choice, their dosages and alternatives are listed in a table that begins on page 54. A table listing the adverse effects of some of these antimicrobials begins on page 58.
PARTNER TREATMENT — Management of STIs should include evaluation and, for bacterial STIs and trichomoniasis, treatment of the sex partners of infected persons. Ideally, partners should themselves be examined and tested for STIs, but that may be difficult to accomplish. For gonorrhea or chlamydia, an alternate approach is to treat sex partners without direct examination or counseling, either by prescription or by giving the medication for the partner to the index patient, a practice... more