Emergency Department and Primary Care Clinical Pathway for Evaluation/Treatment of Sexually Transmitted Infections in Adolescents
- Related Pathways
Identifying Adolescents ≥ 13 Years at Risk for STI
Screening, Treatment, Prevention
Screening, Treatment, Prevention
Primary Care Rooming: Consider HCG, UA
- History
- Identifying At-risk Behaviors to Guide STI Screening
- Confidentiality and Consent
- Five P’s approach for obtaining sexual histories:
- Partners
- Practices
- Protection from STIs
- Past history of STIs (HIV, Viral Hepatitis Risk)
- Pregnancy Intention
- Physical Examination Identifying Signs of STI
- Consider completing GU exam with Attending presence
- Chaperone Considerations, Documentation
- Testing for STI to Identify Biological Markers
- HIV Consent
- Review Testing and Results Communication Plan with Adolescent
- Confirm, document result communication plan
- Obtain confidential contact number
Asymptomatic and/or
concern for STI based on history
concern for STI based on history
- Signs, Symptoms Consistent with Possible STI
- Pelvic Inflammatory Disease
- Diagnostic Criteria
- Differential Diagnosis
- Evaluation
- Treatment
- Review
- Screening Recommendations
- Last documented testing
- Patient request
- Primary Prevention
STI Treatment Recommendations
Consider empiric treatment to avoid complications
Consider empiric treatment to avoid complications
- Disposition Planning, Education, Follow-up
- STI Treatment Guidance
- Follow-up
- Pregnancy Prophylaxis
- Partner Prophylaxis
- Prevention
- Pre-Exposure Prophylaxis
- Discharge Instructions
- Communicating STI Results
- Guidance for Delivering HIV Test Results
Posted: May 2022
Revised: May 2023
Revised: May 2023