Warning:

This document is being maintained for historical purposes, but is now out of date. To view current guidelines please visit:

• STD Treatment Guidelines   at http://www.cdc.gov/STD/treatment

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1993 Sexually Transmitted Diseases Treatment Guidelines

09/24/1993

SUGGESTED CITATION
Centers for Disease Control and Prevention. 1993 Sexually
transmitted diseases treatment guidelines. MMWR 1993;42(No. RR-14):
{inclusive page numbers}.

CIO Responsible for this publication:
National Center for Prevention Services,
Division of Sexually Transmitted Diseases and HIV Prevention

Persons with HIV Infection
     
     The management of patients infected with HIV and patients
infected with both HIV and other STDs presents complex clinical and
behavioral issues. For that reason, these issues are addressed
throughout this report (see HIV Infection and Early Intervention
and specific disease sections). Because of its effects on the
immune system, HIV infection may alter the natural histories of
many STDs and the effect of antimicrobial therapy. Such effects are
likely to occur as the degree of immunosuppression advances;
frequent or severe episodes of some STDs or failure to respond
appropriately to therapy should lead the health-care provider to
consider HIV infection as a cause. Close clinical follow-up of
patients infected with both HIV and STDs is imperative.

     STD infection among patients with or without HIV is a sentinel
event, often indicating unprotected sexual activity. Further
patient counseling is needed in such situations.

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