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Harrison's Principles of Internal Medicine, 18e
| Part 8. Infectious Diseases > Section 2. Clinical Syndromes. Community-Acquired Infections > |
Chapter 130. Sexually Transmitted Infections: Overview and Clinical Approach
Sections: Classification and Epidemiology, Management of Common Sexually Transmitted Disease (STD) Syndromes, Prevention and Control of STIs, Further Readings.
Topics Discussed: sexually transmitted diseases.
Excerpt:"Worldwide, most adults acquire at least one sexually transmitted infection (STI), and many remain at risk for complications. Each year, for example, an estimated 6.2 million persons in the United States acquire a new genital human papillomavirus (HPV) infection, and many of these individuals are at risk for genital neoplasias. Certain STIs, such as syphilis, gonorrhea, HIV infection, hepatitis B, and chancroid, are most concentrated within "core populations" characterized by high rates of partner change, multiple concurrent partners, or "dense," highly connected sexual networks—e.g., involving sex workers and their clients, some men who have sex with men (MSM), and persons involved in the use of illicit drugs, particularly crack cocaine and methamphetamine. Other STIs are distributed more evenly throughout societies. For example, chlamydial infections, genital infections with HPV, and genital herpes can spread widely, even in relatively low-risk populations...."
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