CDC STD Treatment Guidelines, 2010
General STD Management | Syphilis Management | STD Fact Sheets
STD/HIV Surveillance Reports | Publications | Public Health Advocacy and Policy
MRSA Information | Lymphogranuloma Venereum
CMR | Patient-Delivered Partner Therapy | Downloadable & Editable Materials | Contact Information

• Confidential Morbidity Report (CMR) Form
  (Adobe Acrobat file, 2 pages)

• Sexually Transmitted Diseases Treatment Guidelines, 2010
  (Adobe Acrobat file, 116 pages)
• 2010 STD Treatment Guidelines Webinar: An Overview by CDC and the NNPTC
  
• 2010 CDC STD Treatment Guidelines: Gonorrhea Treatment Frequently Asked Questions
  (Adobe Acrobat file, 3 pages)

• Directions for Patient-Delivered Partner Therapy updated! 
  

- Chlamydia (Azithromycin) -- Engl, Span

- Chlamydia and Gonorrhea (Azithromycin+Cefixime) -- Engl, Span

- Gonorrhea (Azithromycin+Cefixime) -- Engl, Span

- NGU (Azithromycin) -- Engl, Span

- Trichomoniasis (Metronidazole) -- Engl, Span

• STD Fact Sheets
  

- Chlamydia -- Engl, Span, Chin

- Gonorrhea -- Engl, Span, Chin

• San Francisco City Clinic STD Protocols 2011 new!
  (Adobe Acrobat file, 96 pages)
• Recommendations for Strategically Addressing Hepatitis C in San Francisco by the San Francisco Hepatitis C Task Force, December 2010  
• 2009 CDC and APHL Guidelines for Laboratory Testing for Chlamydia trachomatis and Neisseria gonorrhoeae
• Laboratory Diagnostic Testing for Chlamydia trachomatis and Neisseria gonorrhoeae -- Expert Consultation Meeting Summary Report, January 13-15, 2009, Atlanta, GA  
• Genital Ulcer Disease Clinical Presentation, Diagnosis, and Management
  (Adobe Acrobat file, 80 pages)
• STD Screening and Diagnostic Testing Guidelines, April 2009  
• Minor consent for HPV immunization, January 2008
• Patient Instructions for Self-Collected Specimens
  

- Pharyngeal Swab Collection Instructions -- Engl, Span

- Rectal Self-Swab Collection Instructions -- Engl, Span

- Vaginal Self-Swab Collection Instructions -- Engl, Span

• Increasing Gonorrhea among African American Heterosexuals in San Francisco
  (Adobe Acrobat file, 1 page)
• Repeat testing at 3 months for patients with Chlamydia and Gonorrhea
  (Adobe Acrobat file, 1 page)
• New Requirements for Sexually Transmitted Disease Reporting
  (Adobe Acrobat file, 1 page)
• Directory of California Public STD Services and Testing Centers
  (Adobe Acrobat file, 144 pages)
• Effect of Expedited Treatment of Sex Partners on Recurrent or Persistent Gonorrhea or Chlamydial Infection
  (Adobe Acrobat file, 10 pages)
• Guidance for Clinical Preventive STD Services of HIV+ Persons 2001
  (Adobe Acrobat file, 6 pages)
• State of California Guidelines for Using Herpes Blood Tests
  (scroll down page to Guidelines or Summary Guidelines for the Use of HSV-2 Serologies)
• King County, WA STD/HIV Screening Guidelines for MSMs

• Screening Pregnant Women for Syphilis Infection: U.S. Preventive Services Task Force Recommendation
  (Adobe Acrobat file, 1 pages)
• Screening for Syphilis Infection in Pregnant Women: Evidence for the U.S. Preventive Services Task Force Reaffirmation Recommendation Statement
  (Adobe Acrobat file, 8 pages)
• "Syphilis: Could Your Patient Have It?" -- A Poster for Dentists, Oral Health Practitioners, and Other Healthcare Providers
  (Adobe Acrobat file, 1 pages)
• "Syphilis in San Francisco: Return of an Epidemic," from San Francisco Medical Society Action News, February 2009
  (Adobe Acrobat file, 2 pages)
• Interview with Dr. Ken Katz of SFDPH about Syphilis and the Healthy Penis Campaign, with Greg and Fernando of Energy 92.7FM
  (mp3)
• JAMA Patient Page on Syphilis, February 2009
  (Adobe Acrobat file, 1 page)
• "SYPHILIS EDUCATION TODAY" Syphilis the "Great Imitator" Fascinating Cases with a Focus on Dermatological Manifestations.
  (Adobe Acrobat file, 81 pages)
• Health Advisory: Syphilis in San Francisco (October 2008)
  (Adobe Acrobat file, 2 pages)
• "SYPHILIS EDUCATION TODAY" Treponemal EIA Testing... Clearing up the Confusion.
  (Adobe Acrobat file, 27 pages)


1. Greenstone C, Saint S, Modeley RH. A Hand-Carried Diagnosis. N Engl J Med. 2007 June 7;356(23):2407-2411
   (Adobe Acrobat file, 5 pages)
2. Mullick CJ, Liappis AP, Benator DA, Roberts AD, Parenti DM, Simon GL. Syphilitic Hepatitis in HIV-Infected Patients: A Report of 7 Cases and Review of the Literature. CID. 2004 Nov;39:e100-5
   (Adobe Acrobat file, 6 pages)
• "SYPHILIS EDUCATION TODAY" Preventing Syphilis Exposure in HIV+ Individuals - A Review of New Guidelines for Prevention and Treatment of Syphilis in the HIV-Infected Population.
  (Adobe Acrobat file, 46 pages)
• Syphilis Management Update, July 2008
  (Adobe Acrobat file, 4 pages)
• "Syphilis Education Today" Local Outbreaks: How to Contain One in your Area and Syphilis and Pregnancy, a Growing Concern.
• Updated Syphilis Screening Recommendations in HIV-infected Patients
• Syphilis and HIV - HIV Insite
• "The State of Syphilis" Early Neurosyphilis in HIV-Infected Patients and an Update on Effective Partner Notification
  (Adobe Acrobat file, 41 pages)
• "The State of Syphilis" Addressing the Co-Morbidities: HIV Infection and Syphilis
  (Adobe Acrobat file, 35 pages)
• "The State of Syphilis" Unique Case Histories That Can Affect Your Diagnosis
  (Adobe Acrobat file, 49 pages)
• Substance Use and Syphilis Screening
  (Adobe Acrobat file, 1 page)
• Indications for CSF analysis in patients with syphilis infection
  (Adobe Acrobat file, 1 page)
• Recommendation Against Azithromycin Treatment for Syphilis
  (Adobe Acrobat file, 1 page)
• Brief Report: Azithromycin Treatment Failures in Syphilis Infections
• Macrolide Resistance in Treponema pallidum in the United States and Ireland
  (Adobe Acrobat file, 5 pages)
• Treatment of Persons Exposed or Possibly Exposed to Syphilis
  (Adobe Acrobat file, 1 page)
• Syphilis Management Recommendations
  (Adobe Acrobat file, 1 page)
• Screening and Management of Syphilis in HIV-infected Patients
  (Adobe Acrobat file, 1 page)
• Evaluation of the Acceptance of Patient-Delivered Partner-Therapy for Incubating Syphilis Among Men who have Sex with Men in San Francisco, CA
  (Adobe Acrobat file, 59 pages)

• Bacterial Vaginosis -- Engl, Span, Chin
  (Adobe Acrobat file, 2 pages)
• Chancroid -- Engl, Span
  (Adobe Acrobat file, 2 pages)
• Chlamydia -- Engl, Span, Chin
  (Adobe Acrobat file, 2 pages)
• Crabs/Scabies -- Engl, Span
  (Adobe Acrobat file, 2 pages)
• Douching -- Engl, Span
  (Adobe Acrobat file, 2 pages)
• Fungus Infections -- Engl, Span
  (Adobe Acrobat file, 2 pages)
• Genital Herpes -- Engl, Span, Chin
  (Adobe Acrobat file, 2 pages)
• Genital Warts -- Engl, Span, Chin
  (Adobe Acrobat file, 2 pages)
• Gonorrhea -- Engl, Span, Chin
  (Adobe Acrobat file, 2 pages)
• Molluscum Contagiosum -- Engl, Span
  (Adobe Acrobat file, 1 page)
• Mucopurulent Cervicitis (MPC) -- Engl, Span
  (Adobe Acrobat file, 2 pages)
• Non-Gonococcal Urethritis (NGU) -- Engl, Span, Chin
  (Adobe Acrobat file, 2 pages)
• Pelvic Exam and Pap Smear -- Engl, Span, Chin
  (Adobe Acrobat file, 2 pages)
• Pelvic Inflammatory Disease (PID) -- Engl, Span, Chin
  (Adobe Acrobat file, 2 pages)
• Superinfection -- Engl, Span
  (Adobe Acrobat file, 2 pages)
• Syphilis -- Engl, Span, Chin
  (Adobe Acrobat file, 2 pages)
• Trichomonas -- Engl, Span, Chin
  (Adobe Acrobat file, 2 pages)
• Urinary Tract Infection (UTI) -- Engl, Span
  (Adobe Acrobat file, 2 pages)
• Viral Hepatitis -- Engl, Span
  (Adobe Acrobat file, 2 pages)
• Yeast -- Engl, Span, Chin
  (Adobe Acrobat file, 2 pages)

• 2011 HIV Partner Services Supplement new!
  (Powerpoint, 17 pages)
• 2010 MSM Surveillance Supplement new!
  (Powerpoint, 45 pages)
• A 21st Century Public Health Model of HIV Prevention: Integrating Traditional and Molecular Methods for Case-finding and Monitoring Access to Care, San Francisco
  (Adobe Acrobat file, 73 pages)
• San Francisco STD Surveillance Summary, 2008
• Antiviral resistance of HIV tests among City Clinic patients, 2004-2007
  (CSV file)
• San Francisco DPH STD Annual Summary Reports
• San Francisco DPH STD Monthly Reports

• Click here to see Journal Articles by STD Services Staff

• Coding guidelines for routine HIV testing in health care settings, 2008
• Synthesis of Data on Methamphetamine Use in San Francisco: March, 2007
• Components for STD Program, NCSD, 2006
• Core Components for STD Program, NCSD, 2006
• Definition of a Functional Health Department, NACCHO, 2006
• Fast Facts: Acute HIV Infection - An Opportunity to Enhance Primary Prevention, March 2006
• HIV/AIDS Policy Fact Sheet, March 2006
• FDA Reply, January 2005
• FDA Petition on Viagra, August 2004

• MRSA Prevention Poster for Gyms and Health Clubs developed with the Stop AIDS Project.
  (Adobe Acrobat file, 1 page)
• Letter from SFDPH STD Prevention and Control Services in response to Annals of Internal Medicine study on MRSA in San Francisco (February 2008).
  
• Mandatory reporting of severe Staphylococcus aureus infections (Press release from the California Department of Public Health, February 2008).
  (Adobe Acrobat file, 2 pages)
• Frequently Asked Questions on MRSA (January 2008) and other resources from the SFDPH Communicable Disease Control & Prevention Unit. -- Engl, Span, Chin
  (Adobe Acrobat file, 2 pages)
• Frequently Asked Questions developed with the Stop AIDS Project--postcard size (January 2008). -- high resolution, low resolution
  (Adobe Acrobat file, 2 pages)
• Frequently Asked Questions developed with the Stop AIDS Project--business card size (March 2008). -- low resolution
  (Adobe Acrobat file, 2 pages)
• Health Advisory: Community Associated Methicillin-Resistant Staphylococcus aureus (CA-MRSA) Infections in San Francisco (January 2008).
  (Adobe Acrobat file, 3 pages)
• "New bugs, old fears." (Editorial on MRSA from Dr. Jeff Klausner, Director of SFDPH STD Prevention and Control Services - January 2008).
  (Adobe Acrobat file, 2 pages)
• Update for the Public: MRSA (Resistant Staph) in Men who have Sex with Men, from the California Department of Public Health (February 2008).
  (Adobe Acrobat file, 2 pages)
• Clinical Update on Community-Associated Methicillin-Resistant Staphylococcus Aureus in Men who have Sex with Men, from the California Department of Public Health (February 2008).
  (Adobe Acrobat file, 4 pages)
• Other MRSA-related resources, including materials translated into 17 languages, from the California Department of Public Health.
• CDC Statement on MRSA in Men Who Have Sex with Men.
• CDC Community-Associated MRSA: Information for the Public.
• Staph and MRSA -- one-page information sheet for the public, including photos of MRSA infections (from the New York City Department of Health and Mental Hygiene).
  (Adobe Acrobat file, 1 page)
• Methicillin-resistant Staphylococcus aureus What YOU Need to Know -- 7-page information sheet for the public, especially for athletes (from the California Department of Public Health).
  (Adobe Acrobat file, 7 pages)
• Diep BA, Chambers HF, Graber CJ, et al. Emergence of Multidrug-Resistant, Community-Associated, Methicillin-Resistant Staphylococcus aureus Clone USA300 in Men Who Have Sex with Men. Ann Intern Med. 2008 Feb 19;148(4) [Epub ahead of print]
• Gorwitz R, Fridkin SK, Workowski KA. More Challenges in the Prevention and Management of Community-Associated, Methicillin-Resistant Staphylococcus aureus Skin Disease. Ann Intern Med. 2008 Feb 19;148(4) [Epub ahead of print]
• Graber C. Skin and Soft Tissue Infections Caused by Community-Acquired Methicillin-Resistant Staphylococcus aureus. BETA Summer 2007.
  (Adobe Acrobat file, 7 pages)
• Zetola N, Francis JS, Nuermberger EL, Bishai WR. Community-acquired Methicillin-resistant Staphylococcus aureus: an emerging threat. Lancet Infect Dis 2005;5:275-86.
  (Adobe Acrobat file, 12 pages)

• Health Alert: Lymphogranuloma Venereum (LGV) Infection in San Francisco
  (Adobe Acrobat file, 1 page)
• Provider letter: Lymphogranuloma Venereum (LGV) Infection in San Francisco
  (Adobe Acrobat file, 1 page)
• MMWR: Lymphogranuloma Venereum Among Men Who Have Sex with Men -- Netherlands, 2003-2004
  
• Resurgence of Lymphogranuloma Venereum in Western Europe: An Outbreak of Chlamydia trachomatis Serovar L2 Proctitis in The Netherlands among Men Who Have Sex with Men
  (Adobe Acrobat file, 8 pages)
• California State STD/HIV Prevention Training Center LGV Information
  

• Information about the FC2 Condom and Its Use
  

- How to Use the FC2 Condom for Vaginal Sex -- Engl, Span

- How to Use the FC2 Condom for Anal Sex -- Engl

(Adobe Acrobat file, 2 pages)
• FC2 Condom 11x17 Posters (high resolution)
  

- Young Women

- Heterosexual Couples

- Men Who Have Sex With Men

(Adobe Acrobat file, 1 page)
• Determining The Risk: Oral Sex & HIV/STDs
  

- Brochure -- high resolution, low resolution

- Poster -- high resolution, low resolution

(Adobe Acrobat file, 1 page)
• A Few More Things To Know About Speed -- Brochure
  (Adobe Acrobat file, 19 pages)
• Reading This Might Save Your Ass

- Brochure (Adobe Acrobat file, 10 pages)

- Poster (Adobe Acrobat file, 1 page)

• Neonatal Herpes Surveillance -- Powerpoint
  (Adobe Acrobat file, 22 pages)
• SYPHILIS Could Your Patient Have It? -- Poster
  (Compressed Adobe Photoshop file, 1 page)
• The HPV Vaccine: A Guide For San Francisco Teens

- Powerpoint (Adobe Acrobat file, 18 pages)

- Info Sheet (Adobe Acrobat file, 2 pages)

- Brochure (Adobe Acrobat file, 2 pages)

• Repeat testing at 3 months for patients with Chlamydia, Gonorrhea, Syphilis -- Poster
  (Adobe Acrobat file, 1 page)