Sexually Transmitted Infections

• Table of Contents

STI - Section I

• British Columbia Treatment Guidelines: Sexually Transmitted Infections in Adolescents and Adults - Quick Reference Guide - This summary was developed by the Division of STI/HIV Prevention and Control at the BC Centre for Disease Control in consultation with the British Columbia Health Authorities to give primary care clinicians a brief, easy-to-use, reference tool for the treatment of common sexually transmitted infections. This tool is not meant to be comprehensive and clinicians are encouraged to consult the full document (Canadian Guidelines on Sexually Transmitted Infections, 2006 Edition) for more details, including diagnostics.
• Canadian Guidelines on Sexually Transmitted Infections - Canadian STI Guidelines have been written for primary health care providers. They are intended to assist in the prevention and appropriate management of STI in Canada.
• Provincial Health Nurses Pre-Determined STI Treatment Schedule (February 2007) -  This is the pre-determined STI treatment schedule to be followed by trained public health nurses in BC.  These will be in effect until further notice.
• Sexually Transmitted Infections Decision Support Tools (DSTs) - The DSTs are evidenced-based documents that guide nurses in assessment, diagnosis and treatment for specific infections.
  Currently the revisions for the DSTs remain in process. Until further notice from the CRNBC, the Provincial Health Nurses Pre-Determined Treatment Schedule is the recommended resource for registered nurses providing STI care.
  
  • CRNBC Certified Practice Infections for STIs   (Chapter I).  Includes:
  • Chlamydia
  • Gonorrhea
  • Mucopurulent cervicitis without PID
  • Trichomoniasis
  • Bacterial Vaginosis
  • Urethritis / Recurrent urethririts (Male)
  • Non-gonococcal urethritis (Male)
  • Recurrent non-gonococcal urethritis (Male)
  • Lower urinary tract infection (Female)
  • Genital Warts 
• Non-Certified Practice Infections for STIs (Chapter II). Includes:
• Syphilis
• Genital Herpes Simplex Virus (HSV)
• Epididymitis
• Pelvic Inflammatory Disease (PID)
• Human Immunodeficiency Virus (HIV)
• Vulvovaginal Candidiasis (VVC)
• Candidal Balanitis (Yeast Balanitis)
• Proctitis
• Scabies
• Pediculosis pubis (Pubic Lice)
• Molluscum contagiosum
• PHSA Registered Nurse Decision Support Tool: Pelvic Exam
• Core Nursing Practice Competencies for Pelvic Exam
• Decision Support Tool: Pelvic Exam
• BC Cancer Agency - Screening for Cancer of the Cervix: An Office Manual for Health Professionals
• Syphilis Follow-Up in British Columbia

HIV/AIDS - Section II

• HIV-1, HIV-2 Counselling and Follow Up Policy (October 2007)
• Guidelines for Use of the POC HIV Test Kit: Information for the Health Care Professional in BC (April 2007)
• Point of Care HIV Counselling Guidelines (May 2007)
• Appropriate Use of Point of Care HIV Testing in BC (December 2007)

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