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non-physician health care providers have an important role in detecting and managing stis (128). providers, including physicians, nurses, and physician assistants, may participate in patient education and partner notification (129); in the latter role, health care providers may prescribe prophylactic medications (130). physicians, nurses, and allied health professionals are often the first health care professionals to encounter patients with stis (131); however, laboratory tests generally are performed on specimens obtained by other health care providers. healthcare providers who suspect that patients have had stis should discuss partner notification, determine the person’s sexual history, and determine the need for partner treatment (132).
stis and hiv are infrequently found in anatomic specimens submitted for histopathologic examination. however, clinicians should consider the following in consultation with other health care professionals: collect evidence for hiv infection from blood or body fluid specimens collected outside the genital tract (133), a tissue specimen collected at the site of clinical infection (134), cells collected from a cervical, vaginal, or rectal swab (135), a tissue specimen of superficial skin lesions (136), fluid collected from the ears (137), and bacterial cultures (138). test samples from patients who have been evaluated or treated for an sti can be examined by various laboratory tests for other infections (139). clients often obtain substances taken from sexual partners such as urine and swabs for serologic testing (140), which may not be acceptable to the person; samples may be self-collected in a clinical setting. furthermore, clinicians and laboratory personnel are cautioned to handle all specimens safely, and to consider the importance of maintaining and using quality assurance practices to prevent transmission of infections among both patients and laboratory personnel (141).
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