Early detection and treatment of sexually transmitted disease in pregnant adolescents of low socioeconomic status. Clin Pediatr (Phila) 1993 Oct;32(10):609-12
Date
10/01/1993Pubmed ID
8261726DOI
10.1177/000992289303201010Scopus ID
2-s2.0-0027674444 (requires institutional sign-in at Scopus site) 8 CitationsAbstract
This study evaluated the prevalence of sexually transmitted disease (STD) in adolescents presenting to a primary pediatric care clinic (PPCC) for the diagnosis of pregnancy and our ability to eradicate identified infections. We followed 168 pregnant adolescents of low socioeconomic status from their original pregnancy diagnosis until their first prenatal clinic visit. We collected screening cervical cultures for Neisseria gonorrhoeae and Chlamydia trachomatis by completing a pelvic examination on 91 patients at our PPCC. At the PPCC visit, 29% were positive for gonorrhea, chlamydia, or both. Screening tests for these infections were collected on all patients at the initial prenatal clinic visit. The risk for presenting to the prenatal clinic with a STD was significantly greater in patients not screened and treated for STD at the PPCC. Average delay from diagnosis to first prenatal clinic visit was 35.7 days. Thus, in this adolescent population, primary care providers are missing an important therapeutic opportunity by failing to identify and treat STD at initial diagnosis of pregnancy.
Author List
Matson SC, Pomeranz AJ, Kamps KAAuthor
Albert J. Pomeranz MD Emeritus Professor in the Pediatrics department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdolescentFemale
Humans
Mass Screening
Pregnancy
Pregnancy Complications, Infectious
Pregnancy in Adolescence
Prenatal Care
Prevalence
Primary Health Care
Sexually Transmitted Diseases
Social Class
