Sexually Transmitted Infections (STI) in Adolescents Clinical Pathway — Emergency Department and Primary Care
Sexually Transmitted Infections (STI) in Adolescents Clinical Pathway — Emergency Department and Primary Care
Signs and Symptoms Consistent with STI
Prevalence of STIs is highest among adolescents and young adults.
Asymptomatic infection is common in men and women, presumptive treatment prevents complications.
- Chlamydia: 70% of infections in women and 50% in men are asymptomatic at the time of diagnosis Chlamydial infection has also been associated with BV and HPV infection
- GC: Commonly asymptomatic or presents with non-specific symptoms until complications occur, e.g., PID
Therefore, it is necessary to consider patients’ at-risk behaviors and biological risks obtained by patient history to screen and test for asymptomatic infections (refer to Screening Recommendations).
Lower Genital Tract Symptoms
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Upper Genital Tract Symptoms
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Extra-genital Symptoms
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STI Diagnostic Guidance
- Diseases Characterized by Urethritis and Cervicitis
- Diseases Characterized by Genital, Anal, or Perianal Ulcers
- Diseases Characterized by Vulvovaginal Itching, Burning, Irritation, Odor or Discharge
- Pelvic Inflammatory Disease (PID)
- Epididymitis
- Proctitis, Proctocolitis, and Enteritis
- Ectoparasitic Infections