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Better predictors than vaginal signs: urinary symptoms predict gonorrhea, chlamydia.(Gynecology)

OB GYN News

| May 01, 2004 | Sullivan, Michele G. | COPYRIGHT 2004 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

ST. LOUIS -- Urinary symptoms are much more highly predictive of gonococcus and chlamydia infections than are vaginal symptoms, Dr. Jill Huppert reported in a poster presentation at the annual meeting of the Society for Adolescent Medicine.

Providers who use vaginal symptoms alone to prompt testing for sexually transmitted infections (STIs) will miss many of these infections, she said.

"Although the majority of STIs occur in asymptomatic females, providers are more likely to offer STI tests to those with symptoms, particularly vaginal symptoms," said Dr. Huppert of the University of Cincinati. "This study demonstrates that urinary symptoms suggest infection with Neisseria gonorrhea or Chlamydia trachomatis, while vaginal discharge suggests a trichomonas infection in adolescent females."

Dr. Huppert's study examined the rates of gonorrhea, chlamydia, and trichomonas infection and their associated symptoms in 92 sexually active females presenting for care at a teen health center and a community-based STI clinic. The patients' mean age was 19.8 years (53% were aged 15-19 years).

Each of the patients underwent a structured interview about urinary symptoms (dysuria, ...

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