價Check for updatesINTERNATIONAL JOURNAL OFGuidelinesSTD&AIDSInternational Journal of STD AlDSBritish Association of Sexual Health and2023.VdL.00)I-I5四The Author()2023HIV (BASHH)United Kingdom nationalArticle reuse guidelinessagepub.com/joumals-permissionsD0L:10.1177/0564624231168217guideline for the management of sexuallyjournals.sagepub.com/home/stdtransmitted enteric infections 2023S SageDaniel Richardson,2,Mark Pakianathan3,Michael Ewens,Holly Mitchell,Hasan Mohammed,Elizabeth Wiseman',MarcTweed,Kayleigh Nichols',Waseem Rawdah',Richard Cooper',Robert Macrowan,Matthew Irish,Amy Evans410."andGauri Godbole5."AbstractThis is the first British Association of Sexual Health and HIV(BASHH)national guideline for the management of sexuallytransmitted enteric infections(STEl).This guideline is primarily aimed for level 3 sexual health clinics;however,it may also beapplicable to other settings such as primary care or other hospital departments where individuals with STEl may present.Thisguideline makes recommendations on testing,management,partner notification and public health control of STEl.KeywordsSexually transmitted enteric infections,men who have sex with men,Shigella spp.,Giardia duodenalis,Entamoeba histolytica,proctocolitis,enteritis,hepatitis,proctitis,antimicrobial resistance,public health,guidelineDate received:13 March 2023;accepted:20 March 2023Introductionand Evaluation (GRADE)system was applied to assess thegrade of the evidence.There are increasing rates of sexually transmitted entericinfections (STED)particularly amongst men who have sexwith men(MSM),including heterosexual identifying MSMMethodsand some groups of gender diverse people.1-3 ThisThe multidisciplinary writing group reviewed the evidence forguideline is intended to provide evidence-based guidancetransmission,investigation,management,antimicrobialon the management of both suspected and confirmed STEIin adults.This guideline focuses on STEI organisms forwhich there exists robust evidence for sexual transmission.University Hospitals Sussex NHS Foundation Trust,Brighton,UKBrighton Sussex Medical School,Brighton,UK3 Guys and St Thomas'NHS Foundation Trust,London,UKSearch strategyLeeds Teaching Hospitals NHS Trust.Leeds,UK5 UK Health Security Agency.London,UKPICO (Population,Intervention,Comparator,Outcome)5 Chelsea Westminster NHS Foundation Trust,London,UKquestions were generated and used for database searches7Manchester University NHS Foundation Trust,London,UKconducted from Pubmed,Medline,Embase and the Cochrane3 Terrence Higgins Trust,Brighton,UKCommunity Contributor,Brighton,UKlibrary.(Supplemental Appendix 1)The search terms were1British Association of Sexual Health&HIV,Clinical Effectiveness Group,kept broad to include all the guideline questions.Only pub-London,UKlications in the English language were reviewed.ManuscriptJoint last authorstitles,abstracts,and then selected full texts manuscripts werereviewed and included in the review;further manuscriptsCorresponding autho
