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preparation of the guideline was coordinated through internal and external meetings. the work group finalized the identity of the working group by september 4, 2017; the scope of the guidelines by august 15, 2017; the review by december 31, 2017; and the delphi survey by december 31, 2018.

the curated group of subject matter experts was organized in five work groups and two small groups. six work groups were organized to produce the guideline recommendations: women and men; female urogenital infections; men who have sex with men; stis in pregnancy and infants; stis among sex workers and gay, bisexual, and other men who have sex with men; and other sexually transmitted infections and conditions.

the fourth small group included experts from the following three groups: clinicians, educationists, and consumers. the purpose of the small group was to identify the top areas to focus on for future guideline efforts that would be relevant to the majority of the consumer and educationalist groups. to develop the recommendations, the work groups met to discuss and review the evidence, develop their conclusions, and write draft recommendations. the expert and subject matter experts were identified and organized into work groups as follows.

the interim guidelines recommend that clinicians use clinical judgment to identify non-responders and consider extending treatment by one additional dose (128,32,55). clinical judgment is appropriate because these guidelines are designed to assist clinicians in making practical judgments based on a need for treatment or no treatment. if the treatment is not working, then extending the treatment duration should be considered. finally, clinicians are permitted to change the antibiotic dose and drug if the clinical response is not adequate (55). 3d9ccd7d82

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