MMWR, Morbidity and Mortality Weekly Report
Recommendations and Reports
May 10, 2002/Vol. 51/No.RR-6

Sexually Transmitted Diseases
Treatment Guidelines 2002
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References

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Abbreviations Used in This Publication

ACIP Advisory Committee on Immunization Practices
ACOG American College of Obstetricians and Gynecologists
ACS American Cancer Society
AIDS Acquired immunodeficiency syndrome
ALT Alanine aminotransferase
anti-HBc Antibody to the hepatitis B core antigen
ASCUS Atypical squamous cells of undetermined significance
BCA Bichloroacetic acid
BV Bacterial vaginosis
CBC Complete blood count
CDC Centers for Disease Control and Prevention
CI Confidence interval
CIN Cervical intraepithelial neoplasia
CLD Chronic liver disease
CMV Cytomegalovirus
CNS Central nervous system
CSF Cerebrospinal fluid
d4T Stavudine
ddC Dideoxycytodine
ddI Didanosine
DFA Direct fluorescent antibody
DGI Disseminated gonococcal infection
dL Deciliter
DNA Deoxyribonucleic acid
EIA Enzyme immunoassay
ELISA Enzyme-linked immunosorbent assay
FDA Food and Drug Administration
FTA-ABS Fluorescent treponemal antibody absorbed
gG glycoprotein G
GISP Gonococcal Isolate Surveillance Project
HAV Hepatitis A virus
HBIG Hepatitis B immune globulin
HBsAg Hepatitis B surface antigen
HBV Hepatitis B virus
HCV Hepatitis C virus
HIV Human immunodeficiency virus
HPV Human papillomavirus
HSV Herpes simplex virus
HTLV-1 Human T-cell lymphotrophic virus type I
IDV Indinavir
IDU Injection drug user
IFA Immunofluorescence assay
IgE Immunoglobulin E
Ig Immune globulin
IgG Immunoglobulin G
IHPS Infantile hypertrophic pyloric stenosis
IM Intramuscularly
IV Intravenous or intravenously
kg Kilogram
KOH Potassium hydroxide
LGV Lymphogranuloma venereum
MAC Mycobacterium avium complex
mg Milligram
MIC Minimum inhibitory concentration
MMWR Morbidity and Mortality Weekly Report
MPC Mucopurulent cervicitis
MRL Microbiology Reference Library
MSM Men who have sex with men
N-9 Nonoxynol-9
NAAT Nucleic acid amplification test
NGU Nongonococcal urethritis
OTC Over-the-counter
Pap Papanicolaou
PCP Pneumocystis carinii pneumonia
PCR Polymerase chain reaction
PEP Postexposure prophylaxis
PID Pelvic inflammatory disease
PPD Purified protein derivative
PPV Positive predictive value
QRNG Quinolone resistant Neisseria gonorrhoeae
RIBA Recombinant immunoblot assay
RNA Ribonucleic acid
RPR Rapid plasma reagin
RT-PCR Reverse transcriptase polymerase chain reaction
RVVC Recurrent vulvovaginal candidiasis
SAQ Saquinavir
SIL Squamous intraepithelial lesion
STD Sexually transmitted disease
TB Tuberculosis
TCA Trichloroacetic acid
TE Toxoplasmic encephalitis
TMP-SMX Trimethoprim-sulfamethoxazole
TP-PA Treponema pallidum particle agglutation
TST Tuberculin skin test
VDRL Venereal Disease Research Laboratory
VFC Vaccines for children
VVC Vulvovaginal candidiasis
WB Western blot
WBC White blood count
ZDV Zidovudine
3TC Lamivudine

Consultants

Chairpersons: David Atkins, M.D., M.P.H., Agency for Healthcare Research and Quality, Rockville, MD; Kimberly A. Workowski, M.D., Division of STD Prevention, CDC and Emory University, Atlanta, GA.

Presenters: Adaora A. Adimora, M.D., M.P.H., University of North Carolina, Chapel Hill, NC; Michael H. Augenbraun, M.D., State University of New York (SUNY) Health Science Center, Brooklyn, NY; Willard Cates, Jr., M.D., M.P.H., Family Health International, Research Triangle Park, NC; Jane Cecil, M.D., Johns Hopkins, Baltimore, MD; Lynne Fukumoto, UCLA School of Nursing, Los Angeles, CA; Margaret Hammerschlag, M.D., SUNY Health Science Center, Brooklyn, NY; Anne M. Rompalo, M.D., Johns Hopkins University, Baltimore, MD; Richard Rothenberg, M.D., Emory University School of Medicine, Atlanta, GA; Pablo J. Sanchez, M.D., University of Texas Southwestern Medical Center, Dallas, TX; Bradley Stoner, M.D., Ph.D., Washington University School of Medicine, St. Louis, MO; Jane R. Schwebke, M.D., Department of Medicine, University of Alabama, Birmingham, AL; Anna Wald, M.D., M.P.H., University of Washington, Seattle, WA; Cheryl K. Walker, M.D., Stanford University Medical Center, Stanford, CA; George D. Wendel, M.D., University of Texas Southwestern Medical Center, Dallas, TX; Karen Wendel, M.D., Johns Hopkins University, Baltimore, MD; Dorothy J. Wiley, Ph.D., UCLA School of Nursing, Los Angeles, CA; Jonathan M. Zenilman, M.D., Johns Hopkins University, Baltimore, MD. Moderators: King K. Holmes, M.D., Ph.D., Center for AIDS and STDs, University of Washington, Seattle, WA; Edward W. Hook, III, M.D., University of Alabama, School of Medicine, Birmingham, AL; William McCormack, M.D., SUNY Health Science Center, Brooklyn, NY. Rapporteurs: John M. Douglas, Jr., M.D., Denver Department of Public Health and University of Colorado Health Science Center, Denver, CO; H. Hunter Handsfield, M.D., University of Washington and Public Health-Seattle & King County, Seattle, WA; Walter Stamm, M.D., University of Washington Medical Center, Seattle, WA.

Consultants: Gail Bolan, M.D., California Dept. of Health, Berkeley, CA; Toye H. Brewer, M.D., University of Miami, Miami, FL; Virginia A. Caine, M.D., Indiana University School of Medicine, Indianapolis, MN; Connie Celum, M.D., M.P.H., University of Washington, Seattle, WA; Myron S. Cohen, M.D., University of North Carolina, Chapel Hill, NC; Thomas A. Farley, M.D., M.P.H., Tulane University School of Public Health and Tropical Medicine, New Orleans, LA; Laura T. Gutman, M.D., Duke University, Durham, NC; Penelope J. Hitchcock, D.V.M., M.S., National Institute for Allergy and Infectious Diseases, NIH, Bethesda, MD; Sharon Hillier, Ph.D, Magee Women’s Hospital, Pittsburgh, PA; Franklyn N. Judson, M.D., Denver Department of Health, Denver, CO; David Martin, M.D., LSU Medical Center, New Orleans, LA; Daniel M. Musher, M.D., Veterans Affairs Medical Center, Houston, TX; Newton G. Osborne, M.D., M.P.H., Howard University Hospital, Washington, DC; Jeff Peipert, M.D., M.P.H., Women and Infants Hospital, Providence, RI; Peter Rice, M.D., Boston Medical Center, Boston, MA; Mary Sawyer, M.D., Emory University, Atlanta, GA; Jack Sobel, M.D., Wayne State University, Detroit, MI; David Soper, M.D., Medical University of South Carolina, Charleston, SC; Lawrence R. Stanberry, M.D., Ph.D., University of Texas Medical Branch, Galveston, TX; Barbara Stoll, M.D., Emory University School of Medicine, Atlanta, GA; Richard Sweet, M.D., Magee Women’s Hospital, Pittsburgh, PA; Eugene Washington, M.D., UCSF/Mt. Zion Medical Center, San Francisco, CA; Heather Watts, M.D., National Institutes of Health, Bethesda, MD.

Liaison Participants: Vagan A. Akovbian, M.D., Ph.D., Russian Ministry of Health Central Institute, Moscow, Russia; Gale Burstein, M.D., M.P.H, American Academy of Pediatrics; Willa Brown, M.D., M.P.H., American College of Preventative Medicine; Mike Catchpole, M.D., PHLS Communicable Disease Surveillance, England; Tom Cox, M.D., American Social Health Association; William Dumas, R.N., National Coalition of STD Directors; Antonio C. Gerbase, M.D., World Health Organization; Sharon Hillier, Ph.D., Infectious Disease Society of Obstetrics and Gynecology; Louella Klein, M.D., American College of Obstetrics and Gynecology; David J. Magid, M.D., M.P.H, Managed Care Colorado; Rafael Mazin, M.D., Pan American Health Organization; Gregory J. Moran, M.D., American College of Emergency Physicians; Donna Richmond, M.P.H., R.N., Association of Reproductive Health Professionals; Anthony Schaeffer, M.D., American Urological Association; Felicia Stewart, M.D., American Social Health Association; Stephen K. Tyring, M.D., Ph.D., American Academy of Dermatology; Leonard B. Weiner, M.D., American Academy of Pediatrics; Tom Wong, M.D., M.P.H., Health Canada.

CDC/Division of STD Prevention (DSTDP)/STD Treatment Guidelines 2002 Project Coordinators: Kimberly A. Workowski, M.D., DSTDP; William C. Levine, M.D., M.Sc., DSTDP.
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