| Sexually transmitted disease testing: evaluation of diagnostic tests and methods. | |
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MedLine Citation:
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PMID: 15449846 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Most STIs in adolescents are asymptomatic. Recent studies in adolescents have documented relatively short periods of time until reinfection occurs (median times 4.7-7.6 months), suggesting that sexually active adolescents should be screened for STI every 6 months. Evidence-based practice is exceedingly helpful in deciding when to test, whom to test, and which methodology to use. In a recent critical analysis regarding screening women for chlamydia, screening all women for chlamydia was more cost-effective than testing only symptomatic women. With the proliferation of highly sensitive and specific assays, and the usefulness of different specimen sources (such as urine or self-swabs), health care providers of adolescents should screen all patients at risk for STIs. Although these screening and diagnostic techniques provide greater accuracy than previously attainable, screening should be part of a comprehensive methodology designed to promote good health care decisions, such as encouraging abstinence, promoting safer sexual practices, and using the most appropriate methodology to detect and treat STIs. |
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Authors:
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Michael G Spigarelli; Frank M Biro |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Adolescent medicine clinics Volume: 15 ISSN: 1547-3368 ISO Abbreviation: Adolesc Med Clin Publication Date: 2004 Jun |
Date Detail:
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Created Date: 2004-09-28 Completed Date: 2004-10-14 Revised Date: 2005-11-16 |
Medline Journal Info:
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Nlm Unique ID: 101196463 Medline TA: Adolesc Med Clin Country: United States |
Other Details:
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Languages: eng Pagination: 287-99 Citation Subset: IM |
Affiliation:
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Division of Adolescent Medicine, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229-3039, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Diagnostic Techniques and Procedures* Female Humans Immunologic Tests Male Nucleic Acid Amplification Techniques Sensitivity and Specificity Serologic Tests Sexually Transmitted Diseases / diagnosis* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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