Update: Treatment for Other Sexually Transmitted Diseases (chancroid, gonorrhea, granuloma inguinale, and lymphogranuloma venereum)
April 16, 2013
This document updates the Technical Instructions regarding the treatment for Other Sexually Transmitted Diseases (chancroid, gonorrhea, granuloma inguinale, and lymphogranuloma venereum). Updated Technical Instructions for Syphilis, were posted on January 1, 2013. As with the recently released Technical Instructions for Syphilis, these updated Technical Instructions for Other Sexually Transmitted Diseases refer the civil surgeon to the Centers for Disease Control and Prevention’s (CDC) Sexually Transmitted Diseases Treatment Guidelines for current treatment requirements.
Updated treatment information and links to the treatment reference sources have been included in the Technical Instructions. Civil surgeons should therefore refer to the current Technical Instructions for Other Sexually Transmitted Diseases webpage for guidance regarding treatment and discard any outdated, printed Technical Instructions.
All applicants who need treatment for chancroid, granuloma inguinale, or lymphogranuloma venereum should be treated according to the guidance provided in the current version of CDC's Sexually Transmitted Diseases Treatment Guidelines .
For treatment of gonorrhea, civil surgeons should refer to CDC's updated guidance for gonorrhea treatment, issued in 2012. Treatment of gonorrhea has become complicated by the ability of Neisseria gonorrhoeae to develop resistance to antibiotics used for treatment; therefore, civil surgeons should follow CDC's updated treatment guidelines.