A retrospective review of the prevalence of neisseria gonorrhea and chlamydia trachomatis in a hospital based adolescent medicine clinic

JOURNALOF A

Vol. IO, No. 3

-. EollY il. xoDvsnAPRcoucmNNuNsApDwLsGEHT yetor J.Coo9ar. Ph.D.,lulanls J. Taylor.and 1.2oaald IR*nbr. I&D. S&wider Children'sBoapltol,lam2 Icl~6Javlsb IfadiulCs~t0r,SIJWatS~y Wook, Rw llyda PAi. NY, and ILlivoraity of cabridls. F7n&va.

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fourn2acataSorles.15-16yur oldasbowd ~tutlwelof concern: ‘I& mu of 9&& :onurm in this m wu trioa u hi&~ as in otbor *es (pc.OP:. with the adale of of -tin,3 disorders. wa leval~ of dieutirfactim with nl@t and akopa wwo closely atwoclntad with dletily. Zutia#, vmltit@, and laxative ~9% With 2h.12 of 11-12 yaw

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m FRRCNANCV AND GONOCOCCAL lSSC4XATIOlI I~PXCTIDII IW ADDLWCENTS. Wndy Fried-oginski. 2.8.. Walter D. Rawnf~ld, I.D., ROsalind Carter. 2.8.. StuI II. ‘hrmmd, N.D., Oaph.Of Fad., Wonteciord Hediul ctr./Albwt Einstein College of

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Am cocAxnn USE Anon0 PloNubncv. J. Deanis

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2dolescenta have high rates of uninbnded pragnancy and smNally trONEitted di(STD), both Of which WY he partially rslrt@ to pour ConWacapUve praslices. Thus, the aogno&wa or an STa may indicafi es :ii4zrss:w? !ziPkFnr praDnmcy. Tkim study was undertaken to datamine if gOnOCMCa1 infection (GC) mhould be considered . risk factor :or @regnanr;y 104 wrually active 13-21 yenr old females ff m adolo-28. age18) attandfingt.aaadolescentgynecolagy clinic ah an urban ~~~~h~~whospit.alwre studied with a oonfidantial struaWred 41s (n-43) of the patiantm had a past or preaant 12g (n-1,) had gith*r a pa*t histoy Of GE or pragnany’ VW . a pasitiva cervical 0E aal~ura (cc*). 12/12 DC+ patienta weeel PGt (92.3). 12i43 PG+ pationtm wara cc+ (266). whereas only Even l/61 P&iO?Its tavor pragnant ware DC+ (26), (p.oooa). after controlling for potential confounding variables much as patlent age, Wr of lifatiu sexual partners, and contraufz8;~dwa, tlm signifiunt amnociation between DCt and PO+ . Tbo positive associmUon b&man pregnancy and CC may bo rrlatad to danea tot mporaUio

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and coulne during the rhrer ,a,th period before pr.~~nancyww acknowledged md for rho three prlod after eekaovladge~~nt of pray,nancy. SC&Odmographic and aubatanc~ we infomatloa YIPSobtained by self-adnlnlsPse@d quesMomaire givm to conaantin$ olo~cn vitkln 48 bows of delivery. Data from womanlass old at timeof concsptloa are presented bars.

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159adolsacenta complecad IOM,CF .I1of Ohaquestionnaire. &lean we WI 16 year.. iO3 465X) ATC ublte. 28%black. SZZrare umarrlad and the eedloa imom w,s leanthan91O.ooO peryear. 421 reported cl@retto sook1~ tbrou&out yresnaacy. Hoor (77.521 reported EO cban~ein Nuba of ci~arattsa per day; 14Xreported.reduction of YO or moreci@rettee pa

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day durlug 9r./luncy. slcobol intake bbased on quantly-frequency mu of ulna.ulna coviers, beer aad liquor) vat increased doting p~e#w~cy by 102. onckaDged in 334, and decreased in 562. 19.61 reported norljuana use during 9ref,nmcy. szd 92 used a~ri,unna throu@oot prefnancy. Only 8 (5.63) adolescents rspoxiei cocalm usa before pre6ooncy; 6 anid they stormed usPne cccmire before rhev becamemt~nunt. Althoueh few adolea-

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m f&Nwd contracaPtive wage was the wmxpzcted pecitivr us#iariorm found bctveen: 1) 5G+ and patients who mportod aver using oral conrraoeprive4 (p.nn):and 2) GC+ and uw of barrier contracoptivcs (1pl.034).These data euggek 1 infwW.on in an adolesmirt fernala that knowledge of gonshould lad ts haighhwmd concern regarding Pmffectivo usa of COntZaoOptiOn uith its attendant risk for pragnlmoy.

Tba arudy subjeet~~ wam 102 girls (13 -18ywra old;l&am 15.9)vbo bad lam ganlte3 LrxCL infIcctloru due to c. tracboutim(CT),2. 6mlUrrbmaU (Gc),and/or T. va#nalis(Trle).Tblrty-four 2lr3s (33.32) had CT, 17

(16.7X) 6C. 29 G6.42) Talcand 22 (21.62) bad mlxadlnketlann.WuuSmmt incUd& ~p~eittc mtlblotit CmNomt PLI racmmnded by tba Cantars

fo: Dlsenae Cuotrol. nitton iMt?ootiom for treat-t of ttir ma ~artnn~. a for a tent of cura (Tot) (3-6 trutmnt) ad individual counaelin,~ on ccmtracaptian and ST&,. Ten (9.0X) hft the clir~lc v&bout. sclsdulcd xwL”rn .ppolnasn(.Of rkm 9'2i96.G:) rho hd (26.152) fsiled tu for TM. L (4.42) to anotbar clinicand 64 (69.6%) rstu~nad to our cSlnic(113 cf tkooa did not konp t& m4lMl oppolrbant). of 1B.T&rLa. 56 (54.92) tunic l-18 (run7wkP)

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aftw ccwlatianef traatantandID" tuwul for al1tkreayMt.5 ib our Cli*lC.ST2vu found ta 12/Sd (21.42) 4ttk TDC -ration (EEB oa Lb0 IlikiaiPinfestionin 7 2irls). r& ns2atire S’f2 rata at WC wu 76.2X for CT. 90x for CC. 56.52 for Tric end E2.9Z fGCtixw3InEectioar. TreatmIltof pu partlwrawu rDport,d by54% of tkoss who raturned for TUG 92 did':& knov if the&+artrun ua~atraatsdmd 11Xreportedthat tybm'a aqulred.na swpartn.r since Che dlwsls of theSll). TblsstudyMove the coplimw r.ta in this population is weesptably low.

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