Clinical predictors of Chlamydia trachomatis endocervicitis in adolescent women: looking for the right combination

Article Abstract:

Chlamydia trachomatis is the name of a type of sexually transmitted bacteria that cause infections in a great many adolescents. Chlamydia infections have been associated with infertility, ectopic pregnancies (where the fetus implants outside of the uterus) and complications in the fetus. Since many women do not have symptoms and screening is very expensive, early detection and treatment is difficult. In place of testing all adolescents, it may be better to identify those factors that can be used to predict the likelihood of becoming infected with chlamydia. To determine factors that predict chlamydia infections among adolescents, 244 women under 21 years of age were studied. A positive test for chlamydia was found more often in women who had a history of chlamydia, many sexual partners, sex with men having urethritis (swelling in urethra causing urinary symptoms), sex without using condoms, heavy vaginal discharge, abnormal cervical features, or gonorrhea. Swelling of the cells of the cervix and having sex with men who have urethritis were factors that were able to correctly predict 79 percent of the cases of chlamydia. Thus, these two factors can help select adolescent women who will probably require chlamydia testing and treatment. (Consumer Summary produced by Reliance Medical Information, Inc.)

Causes of, Diseases, Teenage girls, Disease transmission, Cervicitis, Urethritis, Nongonococcal, Nongonococcal urethritis

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Economic evaluation of an HIV prevention intervention for gay and bisexual male adolescents

Article Abstract:

An HIV prevention program directed to gay and bisexual adolescent males may be a cost-effective method for reducing HIV transmission. Researchers evaluated a 10-year program of individual risk assessment, counseling, peer education, HIV testing, and referrals for 501 young men who participated. An estimated 13 cases of HIV were prevented by the intervention, at a cost of $1.1 million. The program participants engaged in less anal intercourse, used condoms more frequently, and used fewer drugs at the end of the study than when the program began.

Prevention, Education, HIV infection, HIV infections, Study and teaching, AIDS (Disease), Gay youth

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Lymphogranuloma venereum

Article Abstract:

Lymphogranuloma venereum is a sexually transmitted disease caused by a specific type of the bacterium Chlamydia trachomatis. Its risk factors, symptoms, incidence, management, and prevention are discussed.

United Kingdom, Care and treatment

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