High rates of chlamydia found among 12- to 16-year-olds attending a rural sexual health clinic: implications for practice

Sexual Health
Jane Elizabeth TomnayJane Hocking

Abstract

Background Chlamydia is the most commonly diagnosed bacterial sexually transmissible infection (STI) and is asymptomatic in ~80% of women. If untreated, potential consequences include pelvic inflammatory disease, ectopic pregnancy and infertility. In 2014, a retrospective audit was undertaken at a rural service to determine what proportion of patients were aged 12-16 years, infected with chlamydia and their reasons for attending the clinic. There were 111 patients aged 12-16 years attending during 2011-2014; 104 (95%) were female. One hundred and ninety-four chlamydia tests were conducted, with the proportion of patients having at least one test annually being 100% in 2011, 81% in 2012, 72% in 2013 and 78% in 2014. There was no difference in the proportion tested by age during the study (P=0.59). Forty-six tests were positive for chlamydia (23.7%; 95%CI: 17.8%, 30.9%) with proportions decreasing with increasing age from 46.7% (95%CI: 16.4%, 79.5%) in 12- or 13-year-olds to 15.5% (95%CI: 9.4%, 24.2%) in 16-year-olds (P=0.02). The reasons for attending when a chlamydia test was ordered included: (i) fear of pregnancy (18.3%, 34/185); (ii) symptoms (16.7%, 31/185); (iii) STI test/treatment (32.4%, 60/185); and (iv) contraception (...Continue Reading

References

Jan 1, 1997·American Journal of Obstetrics and Gynecology·S D HillisW R Mac Kenzie
Jun 2, 1997·The Medical Journal of Australia·J S HumphreysH C Weinand
Aug 1, 1997·The Australian Journal of Rural Health·F J Stewart, D A Rosenthal
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Dec 19, 2003·The New England Journal of Medicine·Jeffrey F Peipert
Jan 7, 2009·Sexually Transmitted Diseases·M Riduan JoesoefUNKNOWN Corrections STD Prevalence Monitoring Group
Apr 2, 2009·The Australian Journal of Rural Health·Lisa BourkeFiona Lukaitis
Jan 28, 2014·The Australian Journal of Rural Health·Jane E TomnayChristopher K Fairley
Jun 13, 2014·BMC Infectious Diseases·Wayne DimechUNKNOWN ACCESS collaboration

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