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A practical handbook for health care providers managing people with HIV, viral hepatitis, other STIs and HIV-related tuberculosis.
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Contact Tracing Manual
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4.1.2. CHANCROID

Causative organism Haemophilus ducreyi
Incubation period 6 days to 2 weeks
How far to trace back 2 weeks before ulcer appeared or since arrival in endemic area
Usual testing method Nucleic acid amplification testing or culture
Common symptoms Painful anogenital ulcers; enlarged tender inguinal nodes (buboes) which may break down and discharge
Likelihood of transmission per act of unprotected intercourse High
Likelihood of long-term sexual partner being infected High; asymptomatic infection is thought to occur sometimes in women
Protective effect of condoms Probably high
Transmission by oral sex Rare
Duration of potential infectivity Weeks
Important sequelae Local tissue destruction, inguinal abscesses and draining sinuses
Enhanced HIV transmission
Direct benefit of detection and treatment of contacts Cure
Usual management of contacts Counselling, clinical examination and testing of lesions for chancroid
Presumptively treat partners with azithromycin 1g as a single dose or ceftriaxone 500mg as a single dose by intramuscular injection
Contact tracing priority High as not endemic in Australia or New Zealand. Specialist support for contact tracing should be sought if local acquisition or transmission is possible (see Appendix B)
Notification Notifiable by all doctors in all Australian states and territories, and in New Zealand, and by laboratory on positive isolation in Australian states and territories
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