Impact of the CDC 2021 Sexually Transmitted Infection Guideline Update on Emergency Medicine

AbstractPurpose of ReviewThis review highlights recent changes to the CDC recommendations for sexually transmitted infections.Recent FindingsNeisseria gonorrhoea has developed resistance to multiple antibiotics. A total of 500  mg intramuscular ceftriaxone (1000 mg in patients weighing greater than 150 kg) is required to achieve the mean inhibitory concentration to eradicate infection reliably.Mycoplasma genitalium has also been found to develop antibiotic resistance and is implicated in cases of recurrent urethritis and cervicitis.SummaryThe CDC has published a 2021 update to their sexually transmitted infection management guidelines. These guidelines include new first-line regimens for managing gonorrhea and chlamydia as well as for pelvic inflammatory disease. This review provides a succinct summary of the new treatment guidelines with an emphasis on updates pertinent to management of sexually transmitted infections in the emergency department.
Source: Current Emergency and Hospital Medicine Reports - Category: Emergency Medicine Source Type: research