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EDs should be aware of sexually transmitted infection risk in patients

One-quarter of symptomatic adolescent females tested positive for an STI

DENVER – All adolescent females who show up in the emergency department (ED) complaining primarily of lower abdominal pain and/or urinary or genital symptoms should be tested for sexually transmitted infections (STIs), according to the authors of a study to be presented Saturday, April 30, at the Pediatric Academic Societies (PAS) annual meeting in Denver.

Previous studies have shown that when adolescents seek treatment for symptoms suggestive of an STI, they are not always tested, partly because health care professionals may not be aware of the risk of STIs in these patients. If not identified and treated, STIs can have serious long-term consequences such as infertility, ectopic pregnancy, chronic disease and death in babies, and cervical cancer. The presence of an STI also can increase the likelihood of acquiring HIV.

Researchers, led by Monika Goyal, MD, sought to determine how common STIs are in symptomatic adolescent females. Over the six-month study period, 236 females ages 14-19 years who sought treatment at a pediatric ED for symptoms of lower abdominal, pelvic or flank pain and/or genitourinary complaints were tested for three of the most common STIs: Neisseria gonorrhoeae , Chlamydia trachomatis and Trichomonas vaginalis .

Results showed that 26.3 percent of the patients had an STI. The most common was chlamydia (20 percent), followed by trichomoniasis (10 percent) and gonorrhea (3.5 percent). In addition, 19 percent of patients infected with chlamydia also had trichomoniasis, while 6.7 percent had both chlamydia and gonorrhea.

"Adolescents represent a high-risk group for sexually transmitted infections, and many providers are unaware of this association and the consequences that potentially occur due to infection," said Dr. Goyal, instructor of pediatrics and attending physician in the Department of Pediatrics, Division of Emergency Medicine, Children's Hospital of Philadelphia, University of Pennsylvania.

In addition, other studies have shown that adolescents often do not have a primary care doctor and go to the ED for medical care instead.

"Therefore, ED providers should be assessing STI risks in adolescents who come to the ED for care, as this may be the only point of contact of these patients and an opportunity to intervene," Dr. Goyal said.

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To view the abstract, go to http://www.abstracts2view.com/pas/view.php?nu=PAS11L1_3981.

The Pediatric Academic Societies (PAS) are four individual pediatric organizations who co-sponsor the PAS Annual Meeting – the American Pediatric Society, the Society for Pediatric Research, the Academic Pediatric Association, and the American Academy of Pediatrics. Members of these organizations are pediatricians and other health care providers who are practicing in the research, academic and clinical arenas. The four sponsoring organizations are leaders in the advancement of pediatric research and child advocacy within pediatrics, and all share a common mission of fostering the health and well being of children worldwide. For more information, visit www.pas-meeting.org.

Contact: Susan Martin
ssmartin@aap.org
847-434-7877
American Academy of Pediatrics 

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