The synergistic relationship between sexually transmitted infections (STIs) and Human Immunodeficiency Virus (HIV) has been appreciated since early in the HIV epidemic. Transmitted through many of the same behaviors, the co-infection rate of STIs and HIV are significant, particularly in this age when STIs are on the rise again. As of the time of this writing, the most recent CDC STD surveillance (2015) report detailed an all-time high of cases of the three reportable STIs—chlamydia, gonorrhea, and syphilis.
While the reasons for these increases are multi-factorial, the promise of HIV Treatment as Prevention (TasP) and the availability of HIV Pre-exposure Prophylaxis (PrEP) likely play a significant role in rising STI rates, particularly amongst men-who-have-sex-with-men (MSM). New tools and multi-pronged approaches are needed to combat these (often) curable, but frustratingly persistent, pathogens.
Part I: Office-Based Approaches to Improve Sexual Health
Part II: STI Pathogens and Associated Conditions
Part III: Special Populations
Title: “Sexually Transmitted Infections in HIV-Infected Adults and Special Populations”
Author: Laura Hinkle Bachmann