HIV, STD and Hepatitis Branch

Resources for Healthcare Providers

Clinical Consultations

The County of San Diego HIV, STD, and Hepatitis Branch (HSHB) operates a clinical consultation service for providers to discuss cases with an STD expert.

For clinical consultations, call or text (619) 609-3245 between 8:00am - 5:00pm PST, Monday through Friday (excluding County holidays). If no one answers, leave a voicemail or send a text message. Please include the following information in your message/text:

Your name
Organization
Complete phone number, including area code.—To expedite the callback, direct line phone numbers are preferred over main clinic or hospital numbers.

*Please do not include any patient-identifying information in any text messages or voicemails sent to this phone.

STD Guidelines

STD Testing and Treatment

Screening and Treatment Guidelines

California Sexually Transmitted Infections (STI) Screening Recommendations—November 2022 (PDF)

California STD Clinical Guidelines and Tools (website)

CDC MMWR Sexually Transmitted Infections Treatment Guidelines—July 2021 (PDF)

California STI Treatment Guidelines Table for Adults and Adolescents—November 2021 (PDF)

Doxy PEP
- CDC MMWR Clinical Guidelines on the Use of Doxycycline Postexposure Prophylaxis for Bacterial Sexually Transmitted Infection Prevention—June 2024 (website)

Pregnancy

California STI/HIV Screening Recommendations in Pregnancy—June 2022 (PDF)

California STI Treatment Recommendations in Pregnancy—April 2022 (PDF)

Updated Syphilis Screening Recommendations for the Prevention of Congenital Syphilis: Pregnant Persons—October 2024 (website)

Chlamydia and Gonorrhea

CDC Recommendations for the Laboratory-Based Detection (PDF) of Chlamydia trachomatis and Neisseria gonorrhoeae—2014

California Clinical Guidelines for Gonorrhea Treatment and Management of Suspected Gonorrhea Treatment Failure—February 2022 (PDF)

Best Practices and Early Detection of Repeat Chlamydial and Gonococcal Infections: Effective Partner Treatment and Patient Retesting Strategies for Implementation in California Health Care Settings—February 2016 (PDF)

Herpes

California Guidelines for the Use of Herpes Simplex Virus (HSV) Type 2 Serologies—2003 (PDF)
- Summary Guidelines (PDF)

Mpox

California Department of Public Health—Mpox (website)
- Mpox Guidance Resources for Healthcare Providers (website)

Syphilis

California Department of Public Health—Syphilis (website)
- STI Treatment Guidelines
- Updated Syphilis Screening Recommendations—October 2024 (website)
- Congenital Syphilis (website)

CDC Laboratory Recommendations for Syphilis Testing—February 2024 (website)

Food and Drug Administration (FDA) Healthcare Provider Letters—Bicillin® L-A Shortage

Temporary Importation of Extencilline, (benzathine benzylpenicillin) Powder and diluent for reconstitution for injection, 1,200,000 units and 2,400,000 units with Foreign, non-U.S. Labeling to Address Supply Shortage—July 2024

Temporary Importation of Lentocilin©, (Benzathine Benzylpenicillin Tetrahydrate) Powder and diluent for suspension for injection, 1,200,000 units with Foreign, non-U.S. Labeling to Address Supply Shortage—June 2024