The pediatrician and the sexually active adolescent. A primer for sexually transmitted diseases.
Sexual activity is a common practice among young adolescents, placing them at high risk for STDs, many of which have long-term consequences. Early diagnosis and treatment are essential to limit both the consequences and the spread of these infections. The clinician has a responsibility to the adolescent patient to recognize and treat these diseases. Using history and physical examination, the clinician should be able to determine an adolescent's risk for an STD, and, based on this risk, undertake the appropriate evaluations. Patient treatment, follow-up, and management of sex partners are then guided by the results of either presumptive or definitive diagnostic tests.
Lappa
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Department of Pediatrics, University of California, San Francisco, USA.
Moscicki
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D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000994:Antitrichomonal Agents / Q000627:therapeutic use; D002511:Cephalosporins / Q000627:therapeutic use; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008297:Male; D010372:Pediatrics; D010817:Physician-Patient Relations; D012725:Sexual Behavior; D012749:Sexually Transmitted Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology; D000078329:Workforce
D000900:Anti-Bacterial Agents; D000994:Antitrichomonal Agents; D002511:Cephalosporins