Sexually transmitted and blood-borne infections: Guides for health professionals
The Public Health Agency of Canada (PHAC) provides public health guidance for the prevention and management of sexually transmitted and blood-borne infections (STBBI). PHAC's STBBI guides for healthcare providers and public health professionals outline national recommendations for:
- the screening and diagnosis of STBBI
- the treatment of sexually transmitted infections (STI) of national public health importance
These guides replace the Canadian Guidelines on Sexually Transmitted Infections. PHAC's STBBI guides do not supersede:
- provincial/territorial legislative, regulatory, policy and practice requirements
- any professional guidelines that govern the practise of health professionals in their respective jurisdictions, whose recommendations may differ due to local epidemiology or context
Treatment recommendations include indications for the level and quality of evidence.
Sexually transmitted and blood-borne infection guides
Find key information and public health guidance for the screening, diagnosis and treatment (if available) of:
- Chlamydia (including lymphogranuloma venereum)
- Genital herpes
- Gonorrhea
- Hepatitis B
- Human immunodeficiency virus (HIV)
- Human papillomavirus (HPV)
- Mycoplasma genitalium
- Syphilis
Information on best practices for the prevention and management of STBBI:
- Sexually transmitted blood borne infections (STBBI) prevention guide
- STI-associated syndromes guide: Syndromic management
This guide provides an overview of the management of the following sexually transmitted infection (STI)-associated syndromes: anogenital ulcers, cervicitis, epididymitis, pelvic inflammatory disease (PID), proctitis, urethritis and vaginitis.
Updates to the Guide
Guide | Changes/Updates | Date |
---|---|---|
Syphilis | Update to the syphilis screening recommendations for non-pregnant adults and adolescents to reflect the recently published recommendations. | September 2023 |
Chlamydia and gonorrhea | Update to the screening recommendation for chlamydia and gonorrhea in pregnancy to reflect the recently published recommendation. | April 2023 |
Chlamydia, gonorrhea and syphilis | Update to the epidemiology data contained within the guides to reflect recently published reports. | June 2022 |
Chlamydia, gonorrhea, genital herpes, mycoplasma genitalium and syphilis | Changes to the language around sex/gender in order to be more inclusive. | June 2022 |
National Advisory Committee on Sexually Transmitted and Blood-Borne Infections (NAC-STBBI)
PHAC's STBBI guidelines are developed in collaboration with an expert advisory committee with members from across Canada. Learn about the advisory committee.
NAC-STBBI statements
- NAC-STBBI recommendations on screening for syphilis among sexually active adults and adolescents and high prevalence groups (August 2023)
- NAC-STBBI recommendations on screening for Chlamydia trachomatis and Neisseria gonorrhoeae in pregnancy (October 2022)
Additional resources
PHAC also produces awareness resources based on the guidelines. These resources for health professionals include factsheets, infographics and Canada Communicable Disease Report (CCDR) articles.
Awareness resources
- Hepatitis C for health professionals
- HIV and AIDS for health professionals
- Summary: HIV antiretroviral medication coverage in Canada
Factsheets/infographics
- Let's talk about syphilis (infographic)
- Summary of Recommendations for Chlamydia trachomatis (CT), Neisseria gonorrhoeae (NG) and Syphilis
- Chlamydia, gonorrhea and infectious syphilis in Canada: 2021 surveillance data update
- Approach to HIV Screening: Types of HIV Screening Tests
- HIV factsheet: Biomedical prevention of HIV – PrEP and PEP
- Preventing HIV transmission: Undetectable = Untransmittable (U=U) for health professionals (fact sheet)
- Preventing HIV transmission: Undetectable = Untransmittable (U=U): Communication tips for health professionals
Previous
CCDR articles
- Risk of sexual transmission of HIV in the context of viral load suppression
- Translating evidence into practice with the National Advisory Committee on Sexually Transmitted and Blood-Borne Infections
- Addressing the rising rates of gonorrhea and drug-resistant gonorrhea: There is no time like the present
CDN STBBI Guidelines mobile application
Get the most up-to-date recommendations for the management of sexually transmitted and blood-borne infections on your mobile device.
STBBI: Barriers to Screening
Free and accredited online course for health professionals on barriers to STBBI screening.
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