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Subsequent sexually transmitted infections among adolescent women with genital infection due to Chlamydia trachomatis, Neisseria gonorrhoeae, or Trichomonas vaginalis.
Sex Transm Dis. 1999 Jan; 26(1):26-32.ST

Abstract

OBJECTIVE

To identify factors associated with subsequent sexually transmitted infection (STI) (within 1 year of initial infection) due to Chlamydia trachomatis, Neisseria gonorrhoeae or Trichomonas vaginalis.

DESIGN

Prospective cohort study.

SETTING

A sexually transmitted diseases clinic and four community-based primary care clinics for adolescents.

PARTICIPANTS

Female patients (ages 15 to 19 years) with initial diagnosis of chlamydia, gonorrhea, or trichomonas.

MAIN OUTCOME MEASURES

Subsequent infection by chlamydia, gonorrhea, or trichomonas.

RESULTS

More than 40% of subjects were subsequently infected by at least one STI. Reinfection was common, but infections with sexually transmitted organisms other than the initial infecting organism were also common. Predictors of subsequent infection were black race, gonorrhea as the initial infection, two or more sex partners in the previous 3 months, and inconsistent condom use.

CONCLUSIONS

Subsequent STI frequently follow an initial STI, but there is substantial variation in the causal organism. These data suggest the importance of comprehensive STI prevention programs for adolescents rather than organism-specific interventions.

Authors+Show Affiliations

Department of Pediatrics, Indiana University School of Medicine, Indianapolis, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

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

Language

eng

PubMed ID

9918320

Citation

Fortenberry, J D., et al. "Subsequent Sexually Transmitted Infections Among Adolescent Women With Genital Infection Due to Chlamydia Trachomatis, Neisseria Gonorrhoeae, or Trichomonas Vaginalis." Sexually Transmitted Diseases, vol. 26, no. 1, 1999, pp. 26-32.
Fortenberry JD, Brizendine EJ, Katz BP, et al. Subsequent sexually transmitted infections among adolescent women with genital infection due to Chlamydia trachomatis, Neisseria gonorrhoeae, or Trichomonas vaginalis. Sex Transm Dis. 1999;26(1):26-32.
Fortenberry, J. D., Brizendine, E. J., Katz, B. P., Wools, K. K., Blythe, M. J., & Orr, D. P. (1999). Subsequent sexually transmitted infections among adolescent women with genital infection due to Chlamydia trachomatis, Neisseria gonorrhoeae, or Trichomonas vaginalis. Sexually Transmitted Diseases, 26(1), 26-32.
Fortenberry JD, et al. Subsequent Sexually Transmitted Infections Among Adolescent Women With Genital Infection Due to Chlamydia Trachomatis, Neisseria Gonorrhoeae, or Trichomonas Vaginalis. Sex Transm Dis. 1999;26(1):26-32. PubMed PMID: 9918320.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Subsequent sexually transmitted infections among adolescent women with genital infection due to Chlamydia trachomatis, Neisseria gonorrhoeae, or Trichomonas vaginalis. AU - Fortenberry,J D, AU - Brizendine,E J, AU - Katz,B P, AU - Wools,K K, AU - Blythe,M J, AU - Orr,D P, PY - 1999/1/26/pubmed PY - 1999/1/26/medline PY - 1999/1/26/entrez KW - Adolescents KW - Adolescents, Female KW - Age Factors KW - Americas KW - Biology KW - Chlamydia KW - Demographic Factors KW - Developed Countries KW - Diseases KW - Examinations And Diagnoses KW - Gonorrhea KW - Incidence KW - Infections KW - Measurement KW - North America KW - Northern America KW - Population KW - Population Characteristics KW - Prospective Studies KW - Reproductive Tract Infections KW - Research Methodology KW - Research Report KW - Risk Factors KW - Screening KW - Sexually Transmitted Diseases KW - Studies KW - Trichomoniasis KW - United States KW - Youth SP - 26 EP - 32 JF - Sexually transmitted diseases JO - Sex Transm Dis VL - 26 IS - 1 N2 - OBJECTIVE: To identify factors associated with subsequent sexually transmitted infection (STI) (within 1 year of initial infection) due to Chlamydia trachomatis, Neisseria gonorrhoeae or Trichomonas vaginalis. DESIGN: Prospective cohort study. SETTING: A sexually transmitted diseases clinic and four community-based primary care clinics for adolescents. PARTICIPANTS: Female patients (ages 15 to 19 years) with initial diagnosis of chlamydia, gonorrhea, or trichomonas. MAIN OUTCOME MEASURES: Subsequent infection by chlamydia, gonorrhea, or trichomonas. RESULTS: More than 40% of subjects were subsequently infected by at least one STI. Reinfection was common, but infections with sexually transmitted organisms other than the initial infecting organism were also common. Predictors of subsequent infection were black race, gonorrhea as the initial infection, two or more sex partners in the previous 3 months, and inconsistent condom use. CONCLUSIONS: Subsequent STI frequently follow an initial STI, but there is substantial variation in the causal organism. These data suggest the importance of comprehensive STI prevention programs for adolescents rather than organism-specific interventions. SN - 0148-5717 UR - https://www.unboundmedicine.com/medline/citation/9918320/Subsequent_sexually_transmitted_infections_among_adolescent_women_with_genital_infection_due_to_Chlamydia_trachomatis_Neisseria_gonorrhoeae_or_Trichomonas_vaginalis_ L2 - http://dx.doi.org/10.1097/00007435-199901000-00005 DB - PRIME DP - Unbound Medicine ER -