Document Detail

Sexually transmitted disease testing: evaluation of diagnostic tests and methods.
MedLine Citation:
PMID:  15449846     Owner:  NLM     Status:  MEDLINE    
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.
Michael G Spigarelli; Frank M Biro
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Adolescent medicine clinics     Volume:  15     ISSN:  1547-3368     ISO Abbreviation:  Adolesc Med Clin     Publication Date:  2004 Jun 
Date Detail:
Created Date:  2004-09-28     Completed Date:  2004-10-14     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  101196463     Medline TA:  Adolesc Med Clin     Country:  United States    
Other Details:
Languages:  eng     Pagination:  287-99     Citation Subset:  IM    
Division of Adolescent Medicine, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229-3039, USA.
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MeSH Terms
Diagnostic Techniques and Procedures*
Immunologic Tests
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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