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    <marc:controlfield tag="001">9.840166</marc:controlfield>
    <marc:controlfield tag="003">CaOODSP</marc:controlfield>
    <marc:controlfield tag="005">20221107151757</marc:controlfield>
    <marc:controlfield tag="007">cr |||||||||||</marc:controlfield>
    <marc:controlfield tag="008">180119s2017    onc     ob   f000 0 eng d</marc:controlfield>
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      <marc:subfield code="a">978-0-660-09142-6</marc:subfield>
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      <marc:subfield code="a">CaOODSP</marc:subfield>
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      <marc:subfield code="a">n-cn---</marc:subfield>
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      <marc:subfield code="a">HP40-1/2017-3-1E-PDF</marc:subfield>
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    <marc:datafield tag="245" ind1="0" ind2="0">
      <marc:subfield code="a">Canadian guidelines on sexually transmitted infections </marc:subfield>
      <marc:subfield code="h">[electronic resource] : </marc:subfield>
      <marc:subfield code="b">treatment of N. gonorrhoeae in response to the discontinuation of spectinomycin : alternative treatment guidance statement.</marc:subfield>
    </marc:datafield>
    <marc:datafield tag="246" ind1="3" ind2="0">
      <marc:subfield code="a">Treatment of N. gonorrhoeae in response to the discontinuation of spectinomycin : </marc:subfield>
      <marc:subfield code="b">alternative treatment guidance statement</marc:subfield>
    </marc:datafield>
    <marc:datafield tag="250" ind1=" " ind2=" ">
      <marc:subfield code="a">Revised July 2017.</marc:subfield>
    </marc:datafield>
    <marc:datafield tag="260" ind1=" " ind2=" ">
      <marc:subfield code="a">[Ottawa] : </marc:subfield>
      <marc:subfield code="b">Public Health Agency of Canada, </marc:subfield>
      <marc:subfield code="c">2017.</marc:subfield>
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    <marc:datafield tag="300" ind1=" " ind2=" ">
      <marc:subfield code="a">4 p.</marc:subfield>
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    <marc:datafield tag="500" ind1=" " ind2=" ">
      <marc:subfield code="a">Issued also in French under title: Lignes directrices canadiennes sur les infections transmissibles sexuellement. Traitement des infections gonococciques par suite du retrait du marché de la spectinomycine : déclaration d’orientation pour les traitements de remplacement.</marc:subfield>
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      <marc:subfield code="a">Caption title.</marc:subfield>
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    <marc:datafield tag="504" ind1=" " ind2=" ">
      <marc:subfield code="a">Includes bibliographical references.</marc:subfield>
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    <marc:datafield tag="520" ind1=" " ind2=" ">
      <marc:subfield code="a">"The Public Health Agency of Canada (PHAC) has been informed that manufacturing of spectinomycin has been discontinued. Spectinomycin is recommended in the Canadian Guidelines on Sexually Transmitted Infections (CGSTI) as part of an alternate combination therapy for anogenital Neisseria gonorrhoeae infection, in individuals with contraindications to first-line treatment (i.e., cephalosporins given in combination with azithromycin or doxycycline). This guidance statement for alternative treatments for gonococcal infections was developed in consultation with the CGSTI Expert Working Group based on Canadian epidemiology and a rapid evidence review”--Issue, p. 1.</marc:subfield>
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      <marc:subfield code="2">gccst</marc:subfield>
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      <marc:subfield code="2">gccst</marc:subfield>
      <marc:subfield code="a">Medicine</marc:subfield>
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      <marc:subfield code="2">gccst</marc:subfield>
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      <marc:subfield code="a">Public Health Agency of Canada.</marc:subfield>
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      <marc:subfield code="t">Lignes directrices canadiennes sur les infections transmissibles sexuellement </marc:subfield>
      <marc:subfield code="w">(CaOODSP)9.840167</marc:subfield>
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      <marc:subfield code="t">Canadian guidelines on sexually transmitted infections </marc:subfield>
      <marc:subfield code="w">(CaOODSP)9.836313</marc:subfield>
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      <marc:subfield code="q">PDF</marc:subfield>
      <marc:subfield code="s">364 KB</marc:subfield>
      <marc:subfield code="u">https://publications.gc.ca/collections/collection_2018/aspc-phac/HP40-1-2017-3-1-eng.pdf</marc:subfield>
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      <marc:subfield code="a">170170</marc:subfield>
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