Question | Discussion | References | CME Credit

Case 3: Sexually Transmitted Diseases Screening in HIV-infected Individuals

You answered:

A She is asymptomatic, so STD screening is not indicated.

This answer is incorrect. Persons living with HIV in the United States have high rates of STDs, and most of these infections are asymptomatic. Thus, all HIV-infected patients should be screened for asymptomatic STDs at the initial visit, and receive routine periodic STD screening at follow-up visits as indicated based on their sexual activity. This patient is at particularly high risk for STDs given her history of an STD and her relationship with an injection drug user who is likely not monogamous.

Choose another answer:

B Genital chlamydia screening is not necessary because she is older than 25.
C Women with HIV are at low risk for asymptomatic trichomonas infection, so screening for this infection is not recommended.
D Men and women who report receptive anal intercourse should receive screening for rectal chlamydia.
E Only HIV-infected men who have sex with men (MSM) should be routinely screened for syphilis.

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