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The DSC STI Management Guidelines are designed to serve as a concise and comprehensive reference manual for doctors, paramedical personnel, medical students and counselors.
This 5th edition contains updates in all chapters. We have also included key references for each chapter. In this edition, we have also endeavored to support our guidelines based on the latest available evidence. Evidence- based guidelines are based on good research evidence of clinical effectiveness. They will form the basis for the standards against which comparative audit will be conducted.
For this edition, we referred to the latest 2006 Centres for Disease Control and Prevention of STI management guidelines, as well as those of the BASHH (British Association of Sexual Health and HIV), along with local experience and knowledge. Some amendments in this edition include recommending that all HIV co-infected patients with syphilis be treated with at least 3 doses of parenteral penicillin, a new section on non-occupational post exposure prophylaxis against HIV, guidelines on using the new Type Specific Serological Tests for HSV and the Line Immunoassay for syphilis, which has replaced the FTA-Abs test. We have also updated information on STI screening in asymptomatic patients.
Head, DSC Clinic
Dr Tan Hiok Hee
Contributors
A/Prof Roy Chan
Dr Priya Sen
Dr Martin Chio
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