|STD Update 2012: Epidemiology and Clinical Care|
|Susan Philip, MD, MPH, Director, STD Prevention and Control Services, San Francisco Department of Public Health|
Dr. Philip reviews STD epidemiology in San Francisco in 2011 and addresses clinical cases related to gonorrhea and syphilis. She highlights rising rates of STDs in San Francisco and how they disproportionally affect men, especially men who have sex with men (MSM). In addition, she describes 2 STD cases, including an HIV-infected woman with syphilis, which initiates a discussion of late and early latent syphilis, neurosyphilis in HIV-infected patients, and the implications of presistent stable titers (serofast) in HIV-infected patients. The second case she describes addresses rectal and pharyngeal STD screening tests and gonorrhea treatment, with a background on the history of antibiotic resistence and information on follow-up to determine whether treatment was successful.