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Pharyngeal gonorrhea screening in adolescents: is it necessary?
Pediatrics 1989; 84(4):623-5Ped

Abstract

A prospective study was performed to examine the prevalence of pharyngeal gonorrhea in two urban female adolescent populations and to compare pharyngeal infection with a history of orogenital activity and concurrent genital gonorrhea. Group I was drawn from a children's hospital adolescent clinic and group II was drawn from a public health clinic for sexually transmitted diseases. None of the 240 adolescents in group I had a pharyngeal culture positive for Neisseria gonorrhoeae compared with 3.4% in group II. Only 2.5% of group I had genital gonorrhea, but 33% of group II had positive genital cultures. In only two of the 20 patients with pharyngeal gonococcal infection was the pharynx the only infected site. The addition of routine pharyngeal culturing for gonorrhea yielded only 1% additional gonorrhea cases. There was a significant relationship between concurrent genital and pharyngeal gonorrhea. These findings indicate that routine screening for pharyngeal gonorrhea is not productive in some adolescent populations. A more economic approach would be to use gonorrhea treatment that is effective against both genital and pharyngeal gonorrhea or to obtain pharyngeal cultures in those adolescents returning for test-of-cure cultures after antibiotic treatment for genital gonorrhea.

Authors+Show Affiliations

Ohio State University, Columbus.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

2780123

Citation

Brown, R T., et al. "Pharyngeal Gonorrhea Screening in Adolescents: Is It Necessary?" Pediatrics, vol. 84, no. 4, 1989, pp. 623-5.
Brown RT, Lossick JG, Mosure DJ, et al. Pharyngeal gonorrhea screening in adolescents: is it necessary? Pediatrics. 1989;84(4):623-5.
Brown, R. T., Lossick, J. G., Mosure, D. J., Smeltzer, M. P., & Cromer, B. A. (1989). Pharyngeal gonorrhea screening in adolescents: is it necessary? Pediatrics, 84(4), pp. 623-5.
Brown RT, et al. Pharyngeal Gonorrhea Screening in Adolescents: Is It Necessary. Pediatrics. 1989;84(4):623-5. PubMed PMID: 2780123.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pharyngeal gonorrhea screening in adolescents: is it necessary? AU - Brown,R T, AU - Lossick,J G, AU - Mosure,D J, AU - Smeltzer,M P, AU - Cromer,B A, PY - 1989/10/1/pubmed PY - 1989/10/1/medline PY - 1989/10/1/entrez SP - 623 EP - 5 JF - Pediatrics JO - Pediatrics VL - 84 IS - 4 N2 - A prospective study was performed to examine the prevalence of pharyngeal gonorrhea in two urban female adolescent populations and to compare pharyngeal infection with a history of orogenital activity and concurrent genital gonorrhea. Group I was drawn from a children's hospital adolescent clinic and group II was drawn from a public health clinic for sexually transmitted diseases. None of the 240 adolescents in group I had a pharyngeal culture positive for Neisseria gonorrhoeae compared with 3.4% in group II. Only 2.5% of group I had genital gonorrhea, but 33% of group II had positive genital cultures. In only two of the 20 patients with pharyngeal gonococcal infection was the pharynx the only infected site. The addition of routine pharyngeal culturing for gonorrhea yielded only 1% additional gonorrhea cases. There was a significant relationship between concurrent genital and pharyngeal gonorrhea. These findings indicate that routine screening for pharyngeal gonorrhea is not productive in some adolescent populations. A more economic approach would be to use gonorrhea treatment that is effective against both genital and pharyngeal gonorrhea or to obtain pharyngeal cultures in those adolescents returning for test-of-cure cultures after antibiotic treatment for genital gonorrhea. SN - 0031-4005 UR - https://www.unboundmedicine.com/medline/citation/2780123/Pharyngeal_gonorrhea_screening_in_adolescents:_is_it_necessary L2 - http://pediatrics.aappublications.org/cgi/pmidlookup?view=long&pmid=2780123 DB - PRIME DP - Unbound Medicine ER -