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Treating Asymptomatic Sexually Transmitted Diseases at Anonymous HIV Counseling and Testing Sites

Dilley, James W. MD*; Loeb, Lisa MPH*; Casey, Shannon*; Adler, Barbara LMFT*; Rinaldi, Joanna*; Klausner, Jeffrey D. MD, MPH

doi: 10.1097/01.OLQ.0000091137.49974.79

In this brief article from the UCSF AIDS Health Project and the San Francisco Department of Public Health STD Prevention and Control Services Division, we argue that HIV counseling and testing centers should be used to identify and treat asymptomatic sexually transmitted diseases (STDs). Summarizing the experience in San Francisco of including a program of screening for and treating asymptomatic STD in a busy anonymous HIV counseling and testing center, we report that this service was readily accepted; that both individual and partner therapy were willingly used; and that a significant number of asymptomatic genitourinary Chlamydia trachomatis and pharyngeal Neisseria gonorrhea cases among the men having sex with men attending our clinic were successfully treated.

*AIDS Health Project, University of California at San Francisco, San Francisco, California; and the STD Prevention and Control Services, San Francisco Department of Public Health, San Francisco, California

This research was supported in part by the City and County of San Francisco, The State of California/Office of AIDS, and The Centers for Disease Control and Prevention.

Correspondence: James W. Dilley, MD, UCSF AIDS Health Project, Box 0884, San Francisco, CA 94143-0884. E-mail:

Received for publication April 22, 2003,

revised July 22, 2003, and accepted July 22, 2003.

© Copyright 2003 American Sexually Transmitted Diseases Association