کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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3965496 | 1255914 | 2007 | 5 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Interval to Treatment of Sexually Transmitted Infections in Adolescent Females Interval to Treatment of Sexually Transmitted Infections in Adolescent Females](/preview/png/3965496.png)
Study ObjectiveTo describe (1) the treatment interval for adolescent females with Chlamydia trachomatis (CT), Neisseria gonorrhoeae (GC), or Trichomonas vaginalis (TV); (2) the proportion treated in ≤7 days; and (3) factors influencing the treatment interval.Design and ParticipantsCharts of sexually active females from an urban teen health center who participated in a larger study and were positive for CT, GC or TV (N = 58) were retrospectively reviewed for dates of treatment, and compared to demographic and symptom data. The treatment interval was defined as days from visit to treatment. CT and/or GC were analyzed together (CT/GC) because presumptive treatment covered both infections, and the diagnostic test (nucleic acid amplification) differed from that of TV (wet mount or culture).ResultsThe median treatment interval was 0 days for TV, 5 days for CT/GC, and 3 days for any STI. Overall, 39 (69%) were treated within 7 days of their visit. Those with TV were more likely than those with CT/GC to receive treatment at their initial visit (58% vs. 6%). Genitourinary symptoms increased the odds of treatment in ≤7 days. The treatment interval was significantly shorter for subjects who had their prescriptions phoned to a pharmacy than for those who returned to clinic for treatment (median 2.5 vs. 8 days).ConclusionsWhere presumptive treatment was uncommon, providers were more likely to prescribe same-day therapy to symptomatic patients or those with TV on wet mount. Additional strategies are needed to improve the proportion of adolescent females treated in ≤7 days.
Journal: Journal of Pediatric and Adolescent Gynecology - Volume 20, Issue 5, October 2007, Pages 275–279