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<p class="MsoNormal"><span style="font-size:12.0pt;color:black"><img width="576" height="302" style="width:6.0in;height:3.1458in" id="Picture_x0020_1" src="cid:2e063559-fe57-4b5f-80ab-88a894cbed14"></span><span style="font-size:12.0pt;color:black"><o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:12.0pt;color:black"><o:p> </o:p></span></p>
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<p class="xmsonormal" style="background:white"><span style="font-size:12.0pt;color:black">Good morning! <o:p></o:p></span></p>
<p class="xmsonormal" style="background:white"><span style="font-size:12.0pt;color:black">The CDC has just released </span><span style="font-family:"Arial",sans-serif;color:black"><a href="https://urldefense.com/v3/__https:/www.cdc.gov/std/treatment-guidelines/default.htm__;!!OxGzbBZ6!LeAorBOD7GgXglPIM2-upfbWhzGeX5PMkkWWvBVmryFByUi2RFZ1cKuFTi6LEVypRwgftZ-NEw-5$"><span style="font-size:12.0pt;font-family:"Calibri",sans-serif;color:#075290">Sexually
Transmitted Infections Treatment Guidelines, 2021</span></a></span><span style="font-size:12.0pt;color:black">. This document provides current evidence-based diagnostic, management, and treatment recommendations, and serves as a source of clinical guidance
for managing sexually transmitted infections (STIs). <o:p></o:p></span></p>
<p class="xmsonormal" style="background:white"><b><span style="font-size:12.0pt;color:black">Main STI Diagnostic, Treatment, and Management Updates for Providers</span></b><span style="font-size:12.0pt;color:black"> <o:p></o:p></span></p>
<p class="xmsonormal" style="background:white"><span style="font-size:12.0pt;color:black">The new guidelines include notable updates from the previous 2015 guidance, including: <o:p></o:p></span></p>
<ul style="margin-top:0in" type="disc">
<li class="xmsonormal" style="color:black;margin-top:0in;margin-bottom:0in;mso-list:l1 level1 lfo3;background:white">
<span style="font-size:12.0pt">Updated treatment recommendations for chlamydia, trichomoniasis, and pelvic inflammatory disease. <o:p></o:p></span></li><li class="xmsonormal" style="color:black;margin-top:0in;margin-bottom:0in;mso-list:l1 level1 lfo3;background:white">
<span style="font-size:12.0pt">Updated treatment recommendations for uncomplicated gonorrhea in neonates, children, and other specific clinical situations (e.g., proctitis, epididymitis, sexual assault), which builds on broader treatment changes published in </span><span style="font-family:"Arial",sans-serif"><a href="https://urldefense.com/v3/__https:/www.cdc.gov/mmwr/volumes/69/wr/mm6950a6.htm?s_cid=mm6950a6_w__;!!OxGzbBZ6!LeAorBOD7GgXglPIM2-upfbWhzGeX5PMkkWWvBVmryFByUi2RFZ1cKuFTi6LEVypRwgftW-wRrX-$"><span style="font-size:12.0pt;font-family:"Calibri",sans-serif;color:#075290">Morbidity
and Mortality Weekly Report</span></a></span><span style="font-size:12.0pt">. <o:p></o:p></span></li><li class="xmsonormal" style="color:black;margin-top:0in;margin-bottom:0in;mso-list:l1 level1 lfo3;background:white">
<span style="font-size:12.0pt">Information on FDA-cleared diagnostic tests for <i>Mycoplasma genitalium </i>and rectal and pharyngeal chlamydia and gonorrhea. <o:p></o:p></span></li><li class="xmsonormal" style="color:black;margin-top:0in;margin-bottom:0in;mso-list:l1 level1 lfo3;background:white">
<span style="font-size:12.0pt">Expanded risk factors for syphilis testing among pregnant patients. <o:p></o:p></span></li><li class="xmsonormal" style="color:black;margin-top:0in;margin-bottom:0in;mso-list:l1 level1 lfo3;background:white">
<span style="font-size:12.0pt">Recommended two-step serologic testing for diagnosing genital herpes simplex virus. <o:p></o:p></span></li><li class="xmsonormal" style="color:black;margin-top:0in;margin-bottom:0in;mso-list:l1 level1 lfo3;background:white">
<span style="font-size:12.0pt">Harmonized recommendations for human papillomavirus vaccination with the Advisory Committee on Immunization Practices. <o:p></o:p></span></li><li class="xmsonormal" style="color:black;margin-top:0in;margin-bottom:0in;mso-list:l1 level1 lfo3;background:white">
<span style="font-size:12.0pt">Recommended universal hepatitis C testing in alignment with </span><span style="font-family:"Arial",sans-serif"><a href="https://urldefense.com/v3/__https:/www.cdc.gov/hepatitis/hcv/guidelinesc.htm__;!!OxGzbBZ6!LeAorBOD7GgXglPIM2-upfbWhzGeX5PMkkWWvBVmryFByUi2RFZ1cKuFTi6LEVypRwgftf57u3q_$"><span style="font-size:12.0pt;font-family:"Calibri",sans-serif;color:#075290">CDC’s
2020 hepatitis C testing recommendations</span></a></span><span style="font-size:12.0pt">. <o:p></o:p></span></li></ul>
<p class="xmsonormal" style="margin:0in;background:white"><span style="font-size:12.0pt;color:black"><o:p> </o:p></span></p>
<p class="xmsonormal" style="margin:0in;background:white"><span style="font-family:"Arial",sans-serif;color:black"><a href="https://urldefense.com/v3/__https:/www.cdc.gov/std/statistics/prevalence-incidence-cost-2020.htm__;!!OxGzbBZ6!LeAorBOD7GgXglPIM2-upfbWhzGeX5PMkkWWvBVmryFByUi2RFZ1cKuFTi6LEVypRwgftUlo3O0T$"><span style="font-size:12.0pt;font-family:"Calibri",sans-serif;color:#075290">STIs
are common and costly</span></a></span><span style="font-size:12.0pt;color:black">. With 26 million new STIs occurring each year, totaling nearly $16 billion in medical costs, evidence-based prevention, diagnostic, and treatment recommendations are critical
to STI control efforts now more than ever. <o:p></o:p></span></p>
<p class="xmsonormal" style="margin:0in;background:white"><span style="font-size:12.0pt;color:black"><o:p> </o:p></span></p>
<p class="xmsonormal" style="margin:0in;background:white"><span style="font-size:12.0pt;color:black">During the COVID-19 pandemic, CDC provided </span><span style="font-family:"Arial",sans-serif;color:black"><a href="https://urldefense.com/v3/__https:/www.cdc.gov/std/prevention/disruptionGuidance.htm__;!!OxGzbBZ6!LeAorBOD7GgXglPIM2-upfbWhzGeX5PMkkWWvBVmryFByUi2RFZ1cKuFTi6LEVypRwgftWBZIgVH$"><span style="font-size:12.0pt;font-family:"Calibri",sans-serif;color:#075290">guidance
for the disruption of STI clinical services</span></a></span><span style="font-size:12.0pt;color:black">, focusing on syndromic management and STI screening approaches to maximize the number of people with STIs identified and treated, while prioritizing those
most likely to experience complications. However, most drug and testing kit shortages have since resolved and many health care providers are returning to normal clinical practices, which includes conducting STI evaluation and management in accordance with </span><span style="font-family:"Arial",sans-serif;color:black"><a href="https://urldefense.com/v3/__https:/www.cdc.gov/std/treatment-guidelines/default.htm__;!!OxGzbBZ6!LeAorBOD7GgXglPIM2-upfbWhzGeX5PMkkWWvBVmryFByUi2RFZ1cKuFTi6LEVypRwgftZ-NEw-5$"><span style="font-size:12.0pt;font-family:"Calibri",sans-serif;color:#075290">CDC
Sexually Transmitted Infections Treatment Guidelines, 2021</span></a></span><span style="font-size:12.0pt;color:black">. <o:p></o:p></span></p>
<p class="xmsonormal" style="margin:0in;background:white"><span style="font-size:12.0pt;color:black"><o:p> </o:p></span></p>
<p class="xmsonormal" style="margin:0in;background:white"><b><span style="font-size:12.0pt;color:black">Provider Resources for STIs</span></b><span style="font-size:12.0pt;color:black"> <o:p></o:p></span></p>
<p class="xmsonormal" style="margin:0in;background:white"><span style="font-size:12.0pt;color:black"><o:p> </o:p></span></p>
<p class="xmsonormal" style="margin:0in;background:white"><span style="font-size:12.0pt;color:black">You can stay informed on the latest STI recommendations and clinical guidance with CDC and partner resources which include: <o:p></o:p></span></p>
<ul style="margin-top:0in" type="disc">
<li class="xmsonormal" style="color:black;margin-top:0in;margin-bottom:0in;mso-list:l2 level1 lfo6;background:white">
<b><span style="font-size:12.0pt">High-quality printable copies of the wall chart, pocket guide, and MMWR</span></b><span style="font-size:12.0pt">, which are available for download now on the </span><span style="font-family:"Arial",sans-serif"><a href="https://urldefense.com/v3/__https:/www.cdc.gov/std/treatment-guidelines/provider-resources.htm__;!!OxGzbBZ6!LeAorBOD7GgXglPIM2-upfbWhzGeX5PMkkWWvBVmryFByUi2RFZ1cKuFTi6LEVypRwgftceMX9ec$"><span style="font-size:12.0pt;font-family:"Calibri",sans-serif;color:#075290">STD
website</span></a></span><span style="font-size:12.0pt">. A limited number of free copies will be available for order through </span><span style="font-family:"Arial",sans-serif"><a href="https://urldefense.com/v3/__https:/wwwn.cdc.gov/pubs/CDCInfoOnDemand.aspx__;!!OxGzbBZ6!LeAorBOD7GgXglPIM2-upfbWhzGeX5PMkkWWvBVmryFByUi2RFZ1cKuFTi6LEVypRwgftQIWI3Ri$"><span style="font-size:12.0pt;font-family:"Calibri",sans-serif;color:#075290">CDC-INFO
On Demand</span></a></span><span style="font-size:12.0pt"> in the coming weeks. <o:p></o:p></span></li><li class="xmsonormal" style="color:black;margin-top:0in;margin-bottom:0in;mso-list:l2 level1 lfo6;background:white">
<b><span style="font-size:12.0pt">Training and technical assistance</span></b><span style="font-size:12.0pt">, which are available through the </span><span style="font-family:"Arial",sans-serif"><a href="https://urldefense.com/v3/__https:/www.nnptc.org/__;!!OxGzbBZ6!LeAorBOD7GgXglPIM2-upfbWhzGeX5PMkkWWvBVmryFByUi2RFZ1cKuFTi6LEVypRwgftRuElGNg$"><span style="font-size:12.0pt;font-family:"Calibri",sans-serif;color:#075290">National
Network of STD Clinical Prevention Training Centers</span></a></span><span style="font-size:12.0pt">. <o:p></o:p></span></li><li class="xmsonormal" style="color:black;margin-top:0in;margin-bottom:0in;mso-list:l2 level1 lfo6;background:white">
<b><span style="font-size:12.0pt">STD clinical consultation services</span></b><span style="font-size:12.0pt">, which are available through the </span><span style="font-family:"Arial",sans-serif"><a href="https://urldefense.com/v3/__http:/www.stdccn.org/__;!!OxGzbBZ6!LeAorBOD7GgXglPIM2-upfbWhzGeX5PMkkWWvBVmryFByUi2RFZ1cKuFTi6LEVypRwgftWBr4lje$"><span style="font-size:12.0pt;font-family:"Calibri",sans-serif;color:#075290">STD
Clinical Consultation Network</span></a></span><span style="font-size:12.0pt">. <o:p></o:p></span></li><li class="xmsonormal" style="color:black;margin-top:0in;margin-bottom:0in;mso-list:l2 level1 lfo6;background:white">
<b><span style="font-size:12.0pt">Free continuing education credits (CME and CNE)</span></b><span style="font-size:12.0pt">, which are available through the </span><span style="font-family:"Arial",sans-serif"><a href="https://urldefense.com/v3/__http:/www.std.uw.edu/__;!!OxGzbBZ6!LeAorBOD7GgXglPIM2-upfbWhzGeX5PMkkWWvBVmryFByUi2RFZ1cKuFTi6LEVypRwgftfSk5Pkj$"><span style="font-size:12.0pt;font-family:"Calibri",sans-serif;color:#075290">National
STD Curriculum</span></a></span><span style="font-size:12.0pt">. <o:p></o:p></span></li><li class="xmsonormal" style="color:black;margin-top:0in;margin-bottom:0in;mso-list:l2 level1 lfo6;background:white">
<b><span style="font-size:12.0pt">Recommendations for Providing Quality STD Clinical Services </span></b><span style="font-size:12.0pt">(or </span><span style="font-family:"Arial",sans-serif"><a href="https://urldefense.com/v3/__http:/www.cdc.gov/std/qcs__;!!OxGzbBZ6!LeAorBOD7GgXglPIM2-upfbWhzGeX5PMkkWWvBVmryFByUi2RFZ1cKuFTi6LEVypRwgftZdsgsZ5$"><span style="font-size:12.0pt;font-family:"Calibri",sans-serif;color:#075290">STD
QCS</span></a></span><span style="font-size:12.0pt">), which complement the STI treatment guidelines, focusing on managing clinical operations. <o:p></o:p></span></li><li class="xmsonormal" style="color:black;margin-top:0in;margin-bottom:0in;mso-list:l2 level1 lfo6;background:white">
<b><span style="font-size:12.0pt">An updated STI Treatment Guidelines mobile app</span></b><span style="font-size:12.0pt">, which is in development and is expected to launch in the coming months. <b>NOTE</b>: The 2015 STD Treatment Guidelines app will be retired
at the end of July 2021. CDC is finalizing an interim, mobile-friendly solution – please visit </span><span style="font-family:"Arial",sans-serif"><a href="https://urldefense.com/v3/__https:/www.cdc.gov/std/treatment-guidelines/default.htm__;!!OxGzbBZ6!LeAorBOD7GgXglPIM2-upfbWhzGeX5PMkkWWvBVmryFByUi2RFZ1cKuFTi6LEVypRwgftZ-NEw-5$"><span style="font-size:12.0pt;font-family:"Calibri",sans-serif;color:#075290">STI
Treatment Guidelines (cdc.gov)</span></a></span><span style="font-size:12.0pt"> for information, as it becomes available. <o:p></o:p></span></li></ul>
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<span style="font-size:12.0pt;color:black">You can also find additional information and resources on our website: <a href="https://urldefense.com/v3/__https:/www.uwptc.org/__;!!OxGzbBZ6!LeAorBOD7GgXglPIM2-upfbWhzGeX5PMkkWWvBVmryFByUi2RFZ1cKuFTi6LEVypRwgftSoEEThH$">https://www.uwptc.org/</a> <o:p></o:p></span></p>
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<span style="font-size:12.0pt;color:black"><o:p> </o:p></span></p>
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<span style="font-size:12.0pt;color:black">For questions about the updated 2021 STI Treatment Guidelines, you can email the Clinical Team in CDC’s Division of STD Prevention at </span><span style="font-family:"Arial",sans-serif;color:black"><a href="mailto:stitxguidelines@cdc.gov"><span style="font-size:12.0pt;font-family:"Calibri",sans-serif;color:#075290">stitxguidelines@cdc.gov</span></a></span><span style="font-size:12.0pt;color:black">.
You can also contact us at </span><span style="font-family:"Arial",sans-serif;color:black"><a href="mailto:UWPTC@uw.edu"><span style="font-size:12.0pt;font-family:"Calibri",sans-serif">UWPTC@uw.edu</span></a></span><span style="font-size:12.0pt;color:black">,
or 206-685-9850. <o:p></o:p></span></p>
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<span style="font-size:12.0pt;color:black">Thank you for your commitment to improving the sexual health and wellness of our constituents, neighbors, families and friends. <o:p></o:p></span></p>
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<span style="font-size:12.0pt;color:black">Sincerely, <o:p></o:p></span></p>
<p class="xmsonormal" style="margin:0in;background:white"><span style="font-size:12.0pt;color:black"><o:p> </o:p></span></p>
<p class="xxmsonormal" style="background:white"><b><i><span style="font-size:12.0pt;color:#201F1E">Christine Johnston, MD, MPH, FIDSA</span></i></b><span style="font-size:12.0pt;color:#201F1E"> </span><span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:black"><o:p></o:p></span></p>
<p class="xxmsonormal" style="background:white"><span style="font-size:12.0pt;color:#201F1E">Associate Professor </span><span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:black"><o:p></o:p></span></p>
<p class="xxmsonormal" style="background:white"><span style="font-size:12.0pt;color:#201F1E">Associate Program Director, Infectious Diseases Fellowship Training Program </span><span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:black"><o:p></o:p></span></p>
<p class="xxmsonormal" style="background:white"><span style="font-size:12.0pt;color:#201F1E">Division of Allergy & Infectious Diseases </span><span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:black"><o:p></o:p></span></p>
<p class="xxmsonormal" style="background:white"><span style="font-size:12.0pt;color:#201F1E">Medical Director, UW STD Prevention Training Center</span><span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:black"><o:p></o:p></span></p>
<p class="xxmsonormal" style="background:white"><span style="font-size:12.0pt;color:#201F1E">University of Washington School of Medicine </span><span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:black"><o:p></o:p></span></p>
<p class="xmsonormal" style="margin:0in"><span style="font-size:12.0pt;color:black"> <o:p></o:p></span></p>
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<p class="MsoNormal" style="background:white"><span style="font-size:12.0pt;color:black">University of Washington STD Prevention Training Center<br>
<a href="mailto:uwptc@uw.edu">uwptc@uw.edu</a><o:p></o:p></span></p>
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<p class="MsoNormal" style="background:white"><span style="font-size:12.0pt;color:black"><a href="https://urldefense.com/v3/__https:/www.uwptc.org/__;!!OxGzbBZ6!LeAorBOD7GgXglPIM2-upfbWhzGeX5PMkkWWvBVmryFByUi2RFZ1cKuFTi6LEVypRwgftSoEEThH$" title="https://www.uwptc.org">www.uwptc.org</a><o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:12.0pt;color:black;background:white"><a href="https://urldefense.com/v3/__http:/www.stdccn.org/__;!!OxGzbBZ6!LeAorBOD7GgXglPIM2-upfbWhzGeX5PMkkWWvBVmryFByUi2RFZ1cKuFTi6LEVypRwgftWBr4lje$" title="www.stdccn.org">www.STDCCN.org<br>
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