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- Presentation
STD Update: Current Trends and Treatments
Description
The transcript discusses current trends and treatments for sexually transmitted diseases (STDs), highlighting that there are around 1 million new cases globally each day, mainly consisting of curable infections like syphilis and chlamydia. The speaker notes a troubling trend, with increasing rates of syphilis and congenital syphilis in the US, particularly among Native American populations. The US has seen a recorded shortage of benzathine penicillin for syphilis treatment, leading to alternative sources being used. New developments in comprehensive treatments for herpes include the promising drug protelavir, while HPV vaccines remain underutilized despite their effectiveness in preventing genital cancers. For scabies, emerging treatments like spinosad suspension may address resistance issues to traditional treatments. The talk emphasizes the importance of awareness and treatment strategies for healthcare providers to manage STDs effectively, considering demographics and geographic prevalence.
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- There are over 1 million new STD cases globally every day, and the trend is worsening.
- The number of uncured STDs is significant, with millions of curable cases each year primarily from syphilis, gonorrhea, and chlamydia.
- The CDC has removed certain uncommon STDs from the list of communicable diseases of public health significance due to their declining prevalence in the US.
- Syphilis rates have increased, particularly in populations with higher proportions of Native Americans and Alaskan Natives.
- Congenital syphilis remains a serious issue, with high numbers of cases reported in specific regions of the US.
- Doxycycline has shown to significantly reduce bacterial STDs when given post-exposure, especially for individuals engaging in high-risk behavior.
- There is a current shortage of the standard treatment for syphilis (Benzathine penicillin), leading to imports of non-FDA approved alternatives.
- A promising new treatment for acyclovir-resistant HSV-2 is on the horizon, which could be beneficial for patients suffering from this infection.
- New therapies for genital warts and molluscum contagiosum show potential in managing difficult cases effectively.
- Resistance to traditional scabies treatment is increasing, necessitating the development of new treatment options like spinosad suspension.
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