New Brazilian Strategies for Prevention, Diagnostic and Treatment of the STD

Background: In Brazil, congenital syphilis and syphilis in pregnancy are in the list of compulsory disease notification. STDs in general joined the list of priorities of the National Department of STD / AIDS and Viral Hepatitis, especially syphilis and HPV. It was necessary to update the Brazilian Guidelines.

Methods: During 2012 and 2013 meetings were held with national experts in order to discuss new guidelines for the prevention, diagnosis and treatment of STDs and submitted to the STD committee for approval.

Results: The advances made in the last two years were: the quadrivalent vaccine against HPV incorporated into the country immunization schedule, and to be administered to girls of 11-13 years, in 2014; the hepatitis B vaccine is offered to people up to 49 years old and for the most vulnerable populations. For the screening and diagnosis, rapid tests for HIV, syphilis and hepatitis B and C are available in the primary health care in the country. Finally, as for the treatment, the recommendations for STD treatment were revised, the recommendation of ciprofloxacin to treat gonorrhea was withdrawn, and the new Manual of STDs of 2013 was finalized to be used by health professionals and will be ill be shown in the presentation in this meeting.

Conclusions: These developments are considered to reflect the improvement of health conditions of the people affected by these diseases, in breaking the chain of transmission and especially as complementary strategy for HIV prevention.