Journal of Adolescent Health
Volume 44, Issue 1 , Pages 81-83, January 2009

Emergency Department Management of Adolescents with Urinary Complaints: Missed Opportunities

  • Najah S. Musacchio, M.D.

      Affiliations

    • Department of Pediatrics, Children's Memorial Hospital, Chicago, Illinois
    • Corresponding Author InformationAddress correspondence to: Najah S. Musacchio, M.D., Department of Pediatrics, Children's Memorial Hospital, 2300 Children's Plaza, Box 16, Chicago, IL 60614
    • ,
  • Sejal Gehani, F.N.P.

      Affiliations

    • Department of Pediatrics, Children's Memorial Hospital, Chicago, Illinois
    • ,
  • Robert Garofalo, M.D., M.P.H.

      Affiliations

    • Department of Pediatrics, Children's Memorial Hospital, Chicago, Illinois
    • Howard Brown Health Center, Chicago, Illinois

Received 1 February 2008; accepted 12 May 2008. published online 20 October 2008.

Abstract 

Practice recommendations for the evaluation of adolescents with urinary complaints advise taking a sexual history and testing for sexually transmitted infections (STIs). In this emergency department chart review, 30% lacked a documented sexual history and 49% of sexually active patients were not STI tested, representing missed opportunities for diagnosis of STIs.

Keywords: Sexually transmitted infections, Chlamydia, Gonorrhea, Emergency department, Urinary tract infection

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PII: S1054-139X(08)00268-1

doi:10.1016/j.jadohealth.2008.05.011

Journal of Adolescent Health
Volume 44, Issue 1 , Pages 81-83, January 2009

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