Journal of Adolescent Health
Volume 34, Issue 3 , Pages 166-168 , March 2004

To screen or not to screen: prevalence of C. trachomatis among sexually active asymptomatic male adolescents attending health maintenance pediatric visits

  • Kathleen P Tebb, Ph.D.

      Affiliations

    • Division of Adolescent Medicine and General Pediatrics, Department of Pediatrics, School of Medicine, University of California, San Francisco, California, USA (K.P.T., M.-A.S., S.P., R.H.P.)
    • Corresponding Author InformationAddress correspondence to: Kathleen Tebb, Ph.D., University of California, San Francisco, School of Medicine, Department of Pediatrics, Division of Adolescent Medicine, 3333 California Street, Suite 245, Box 0503, San Francisco, CA 94143-0503, USA.
    • ,
  • Mary-Ann Shafer, M.D.

      Affiliations

    • Division of Adolescent Medicine and General Pediatrics, Department of Pediatrics, School of Medicine, University of California, San Francisco, California, USA (K.P.T., M.-A.S., S.P., R.H.P.)
    • ,
  • Charles J Wibbelsman, M.D.

      Affiliations

    • Kaiser Permanente, San Francisco, California, USA (C.J.W.)
    • ,
  • Samantha Pecson, B.S.

      Affiliations

    • Division of Adolescent Medicine and General Pediatrics, Department of Pediatrics, School of Medicine, University of California, San Francisco, California, USA (K.P.T., M.-A.S., S.P., R.H.P.)
    • ,
  • Ann C Tipton, M.D.

      Affiliations

    • Kaiser Permanente, Oakland, California, USA (A.C.T., T.H.K.)
    • ,
  • John M Neuhaus, Ph.D.

      Affiliations

    • Department of Epidemiology and Biostatistics, School of Medicine, University of California, San Francisco, California, USA (J.M.N.)
    • ,
  • Timothy H Ko, Dr.P.H., M.P.H.

      Affiliations

    • Kaiser Permanente, Oakland, California, USA (A.C.T., T.H.K.)
    • ,
  • Robert H Pantell, M.D.

      Affiliations

    • Division of Adolescent Medicine and General Pediatrics, Department of Pediatrics, School of Medicine, University of California, San Francisco, California, USA (K.P.T., M.-A.S., S.P., R.H.P.)

,Accepted 13 June 2003.

References 

  1. Centers for Disease Control. Sexually Transmitted Disease Surveillance 1999 Supplement: Chlamydia Prevalence Monitoring Project Annual Report. Atlanta, GA: Division of STD Prevention, 2000:1–14
  2. Centers for Disease Control . HIV prevention through early detection and treatment of other STDs (U.S. recommendations for the Advisory Committee for HIV and STD Prevention). MMWR. 1998;47:1–24
  3. Pack RP, DiClemente RJ, Hook EW, Oh MK. High prevalence of asymptomatic STDs in incarcerated minority male youth (A case for screening). Sex Transm Dis. 2000;27:175–177
  4. Jones CA, Knaup RC, Hayes M, Stoner BP. Urine screening for gonococcal and chlamydial infections at community-based organizations in a high-morbidity area. Sex Transm Dis. 2000;27:146–151
  5. Ku L, St. Louis M, Farshy C, et al.  Risk behaviors, medical care, and chlamydial infection among young men in the United States. Am J Public Health. 2002;92:1140–1143
  6. Quinn T, Welsh L, Lentz A, et al.  Diagnosis by AMPLICOR PCR of Chlamydia trachomatis infection in urine samples from women and men attending sexually transmitted disease clinics. J Clin Microbiol. 1996;34:1401–1406
  7. Marrazzo J, White C, Krekeler B, et al.  Community-based urine screening for Chlamydia trachomatis with a ligase chain reaction assay. Ann Intern Med. 1997;127:796–803
  8. Schachter J. Chlamydial infections (in three parts). N Engl J Med 1978;298:428–35; 490–95; 540–9
  9. Eng T, Butler W. The Hidden Epidemic (Confronting Sexually Transmitted Diseases). Washington, DC: National Academy Press; 1997;
  10. American College of Obstetricians and Gynecologists . Guideline for Women's Health Care. Washington, DC: American College of Obstetricians and Gynecologists; 1996;
  11. Elster A. The American Medical Association Guidelines for Adolescent Preventive Services. Arch Pediatr Adolesc Med. 1997;151:958–959
  12. Adger H, Shafer MA, Sweet RL, Schachter J. Screening for Chlamydia trachomatis and Neisseria gonorrhoeae in adolescent males (Value of first-catch urine examination). Lancet. 1984;2:944–945
  13. Shafer MA, Prager V, Shalwitz J, et al.  Prevalence of urethral Chlamydia trachomatis and Neisseria gonorrhoeae among asymptomatic, sexually active adolescent boys. J Infect Dis. 1987;156:223–224
  14. Podgore JK, Holmes KK, Alexander ER. Asymptomatic urethral infections due to Chlamydia trachomatisin male U.S. military personnel. J Infect Dis. 1982;146:828
  15. Best D, Ford CA, Miller WC. Prevalence of Chlamydia trachomatis and Neisseria gonorrhoeae infection in pediatric private practice. Pediatrics. 2001;108:E103
  16. Brodine SK, Shafer MA, Shaffer RA, et al.  Asymptomatic sexually transmitted disease prevalence in four military populations (Application of DNA amplification assays for chlamydia and gonorrhea screening). J Infect Dis. 1998;178:1202–1204
  17. Burstein GR, Waterfield G, Joffe A, et al.  Screening for gonorrhea and chlamydia by DNA amplification in adolescents attending middle school health centers (Opportunity for early intervention). Sex Transm Dis. 1998;25:395–402
  18. Nsuami M, Cohen DA. Participation in a school-based sexually transmitted disease screening program. Sex Transm Dis. 2000;27:473–479
  19. Lechner B, Baker J, Chastain D, et al.  The prevalence of asymptomatic Chlamydia trachomatis in military dependent adolescents. Mil Med. 2002;167:600–601
  20. Shafer M, Tebb K, Pantell R, et al.  Effect of a clinical practice improvement intervention on chlamydial screening among adolescent girls. JAMA. 2002;288:2846–2852
  21. Van Dyck E, Ieven M, Pattyn S, et al.  Detection of Chlamydia trachomatis and Neisseria gonorrhoeae by enzyme immunoassay, culture, and three nucleic acid amplification tests. J Clin Microbiol. 2001;39:1751–1756
  22. Kaiser Permanente. Clinical Practice Guidelines: Prevention and Health Promotion Summary. The Permanente Medical Group, Inc., 2000

PII: S1054-139X(03)00281-7

doi: 10.1016/j.jadohealth.2003.06.007

Journal of Adolescent Health
Volume 34, Issue 3 , Pages 166-168 , March 2004

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