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Titolo:
Subsequent sexually transmitted infection in urban adolescents and young adults
Autore:
Orr, DP; Johnston, K; Brizendine, E; Katz, B; Fortenberry, JD;
Indirizzi:
Indiana Univ, Sch Med, Dept Pediat, Sect Adolescent Med, Indianapolis, IN 46202 USA Indiana Univ Indianapolis IN USA 46202 nt Med, Indianapolis, IN 46202 USA Indiana Univ, Sch Med, Dept Med, Div Biostat, Indianapolis, IN 46202 USA Indiana Univ Indianapolis IN USA 46202 iostat, Indianapolis, IN 46202 USA
Titolo Testata:
ARCHIVES OF PEDIATRICS & ADOLESCENT MEDICINE
fascicolo: 8, volume: 155, anno: 2001,
pagine: 947 - 953
SICI:
1072-4710(200108)155:8<947:SSTIIU>2.0.ZU;2-A
Fonte:
ISI
Lingua:
ENG
Soggetto:
CHLAMYDIA-TRACHOMATIS INFECTION; PELVIC INFLAMMATORY DISEASE; HUMAN-IMMUNODEFICIENCY-VIRUS; CHAIN-REACTION ASSAY; TRICHOMONAS-VAGINALIS; NEISSERIA-GONORRHOEAE; FEMALE ADOLESCENTS; WOMEN; RISK; HOME;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
43
Recensione:
Indirizzi per estratti:
Indirizzo: Orr, DP Indiana Univ, Sch Med, Dept Pediat, Sect Adolescent Med, Riley Outpatient Garage,Room 070,575 N West Dr, Indianapolis, IN 46202 USA Indiana Univ Riley Outpatient Garage,Room 070,575 N West Dr Indianapolis IN USA 46202
Citazione:
D.P. Orr et al., "Subsequent sexually transmitted infection in urban adolescents and young adults", ARCH PED AD, 155(8), 2001, pp. 947-953

Abstract

Objective: To compare the rates of subsequent infection with Chlamydia trachomatis, Neisseria gonorrhoeae, or Trichomonas vaginalis in a group of high-risk adolescents and young adults. Methods: At the time of treatment, 444 unmarried teenagers and young adults aged 13 to 25 years were enrolled from an urban sexually transmitted disease clinic and 3 community-based primary care clinics. Subjects were infected with C trachomatis, N gonorrhoeae, or T vaginalis, were diagnosed as having nongonococcal urethritis (in men), or were uninfected sexual contacts with one of these infections. Subjects returned at 1, 3, 5, and 7 months. Results: The rate of subsequent infection was substantial. Forty percent of men and 53% of women who were uninfected contacts at enrollment were estimated to be infected within 7 months; 60% of men and 73% of women infected at enrollment were estimated to be reinfected. Among women, subjects who were infected at enrollment had a shorter time to subsequent infection (median, 140 days) compared with uninfected contacts (median, 209 days) (P=.04). Among men, findings were similar, but the difference in median time to subsequent infection was not significant (P=.08). Baseline characteristics thatpredicted shorter time to reinfection were female sex and infection at enrollment. When sexual behaviors in the 2 months preceding each subsequent data collection visit were included in the model, only being female and reporting at least one new interval sexual partner were significant predictors of subsequent sexually transmitted infections. Conclusions: These data support recent research that has found high rates of subsequent infection among high-risk adolescents and young adults. Contacts of a sexually transmitted infection appear to be at equally high risk for subsequent infection as those with a personal history of infection. Our data suggest that more frequent than annual screening for N gonorrhoeae, C trachomatis, and T vaginalis would be appropriate in at-risk adolescent andyoung adult populations, including individuals who are uninfected sexual contacts to a sexually transmitted infection.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 26/09/20 alle ore 01:36:09