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Sexually Transmitted Diseases
Introduction Contents Post-Test References Go To Presenter Info


Section 1
Section 2
Section 3

- Topics
- Introduction
- Objectives
- Approaches
- Laboratory
- Clinical
- Syndromic
- Syndromic
- Strengths
- Weaknesses
- Accuracy
- Genital Ulcer
- Algorithm
- Urethral
- Algorithm
- Vaginal
- Vaginitis
- Cervicitis
- Algorithms
- Algorithms
- Algorithms
- Abdominal
- Algorithm
- Algorithm
- Other Issues
- Treatment
- Screening
> The Four Cs
- Resources
- HIV Testing
- Vaccination
- Preliminary
- Summary


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Section 3 - STD Management

The Four Cs

All STD management approaches should emphasize the four Cs:

  • Counseling and education

  • Condom promotion

  • Compliance with treatment

  • Contacting partners for treatment

Slide 76

All STD management approaches should emphasize the four C’s: counseling and education, condom promotion, compliance with treatment, and contacting partners for treatment. Algorithms used in syndromic management should always incorporate the four C’s.

Counseling and education should cover STD prevention messages, point out the potential serious complications of STDs, and suggest ways to change risky sexual behaviors. Condom use should be promoted to prevent infection, emphasizing the importance of consistent and correct use.

Compliance with treatment is essential. The provider should explain the importance of completing the treatment regimen, even after all symptoms have disappeared. The client should also abstain from sex until treatment is completed and the infection is cured.

Sex partners of clients with a clear, definitive diagnosis of infection should be notified of their exposure to disease and encouraged to seek appropriate care. When the diagnosis is not definite, such as with the vaginal discharge syndrome, when to contact partners is less clear. Local providers should use their judgment in these situations. Treating infected partners benefits them, while also preventing further spread of the infection and re-infection of the client.



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