GENERAL PRINCIPLES

GENERAL PRINCIPLES is a topic covered in the Harrison's Manual of Medicine.

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  • Worldwide, most adults acquire at least one sexually transmitted infection (STI).
  • Three factors determine the initial rate of spread of any STI within a population: rate of sexual exposure of susceptible to infectious people, efficiency of transmission per exposure, and duration of infectivity of those infected.
  • STI care and management begin with risk assessment and proceed to clinical assessment, diagnostic testing or screening, syndrome-based treatment to cover the most likely causes, and prevention and control. The “4 C’s” of control are contact tracing, ensuring compliance with treatment, and counseling on risk reduction, including condom promotion and provision.

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