Medical College of Wisconsin
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Early detection and treatment of sexually transmitted disease in pregnant adolescents of low socioeconomic status. Clin Pediatr (Phila) 1993 Oct;32(10):609-12 PMID: 8261726

Pubmed ID

8261726

Abstract

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 KA

Author

Albert J. Pomeranz MD Professor in the Pediatrics department at Medical College of Wisconsin




Scopus

2-s2.0-0027674444   6 Citations

MESH terms used to index this publication - Major topics in bold

Adolescent
Female
Humans
Mass Screening
Pregnancy
Pregnancy Complications, Infectious
Pregnancy in Adolescence
Prenatal Care
Prevalence
Primary Health Care
Sexually Transmitted Diseases
Social Class
jenkins-FCD Prod-299 9ef562391eceb2b8f95265c767fbba1ce5a52fd6