Office-Based Screening for Sexually Transmitted Infections in Adolescents

Author:

Shafii Taraneh1,Levine David2

Affiliation:

1. University of Washington School of Medicine and Seattle Children’s Hospital, Seattle, Washington; and

2. Morehouse School of Medicine, Atlanta, Georgia

Abstract

Almost 1 in 4 adolescents have a sexually transmitted infection (STI). These infections are preventable through safe sexual practices and routine screening. Pediatricians are the first line of clinical care for adolescents and are well positioned to offer sexual and reproductive health care counseling and services to their patients; yet, there is a paucity of sexual health screening provided at routine health supervision visits. This article addresses the epidemiology of STIs in adolescents, reviews the evidence of current clinical practice, presents recommended STI screening from government and medical agencies, and offers strategies to address barriers to providing care for adolescents and for sexual health screening in primary care.

Publisher

American Academy of Pediatrics (AAP)

Subject

Pediatrics, Perinatology and Child Health

Reference38 articles.

1. Centers for Disease Control and Prevention. STDs in adolescents and young adults. 2015. Available at: https://www.cdc.gov/std/stats17/adolescents.htm. Accessed May 10, 2019

2. Bright Futures AAP. Guidelines for health supervision of infants, children and adolescents. Human immunodeficiency virus and sexually transmitted infections. 2017. Available at: https://www.aap.org/en-us/professional-resources/practice-transformation/managing-patients/Pages/Periodicity-Schedule.aspx. Accessed May 10, 2019

3. Sexually transmitted diseases treatment guidelines, 2015 [published correction appears in MMWR Recomm Rep. 2015;64(33):924];Workowski;MMWR Recomm Rep,2015

4. US Preventive Task Force. Human immunodeficiency virus (HIV) screening. 2018. Available at: https://www.uspreventiveservicestaskforce.org/Page/Document/UpdateSummaryFinal/human-immunodeficiency-virus-hiv-infection-screening. Accessed May 10, 2019

5. The American College of Obstetricians and Gynecologists (ACOG). Clinical guidance & publications. Committee opinion: well-woman visit. 2018. Available at: https://www.acog.org/Clinical-Guidance-and-Publications/Committee-Opinions/Committee-on-Gynecologic-Practice/Well-Woman-Visit. Accessed May 10, 2019

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