Infectious Disease

Study all sexually energetic girls, however not males, for chlamydia and gonorrhea

March 02, 2021

2 min read

Source / information

Source:
USPSTF. Screening for Chlamydia and Gonorrhea: US Preventive Services Task Force Draft Statement of Recommendation. Accessed March 1, 2021.

Disclosure:
Kubik does not report any relevant financial information.

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The U.S. Preventive Services Task Force issued a draft recommendation asking doctors to check for chlamydia and gonorrhea in all sexually active women aged 24 years and younger.

The USPSTF also recommended screening sexually active women aged 25 and over who are at increased risk for chlamydia and gonorrhea. The task force said there was insufficient evidence to decide whether men should be screened for these infections regardless of age or sexual history.

“Since we know that the highest rates of chlamydia and gonorrhea occur in women aged 24 years and younger, we recommend they get evaluated.” Martha Cubic, PhD, RN, A task force member and director of the School of Nursing at the College of Health and Human Services at George Mason University, told Healio Primary Care . B. inconsistent use of condoms when there is no monogamous relationship, new or multiple sexual partners are present, or there is previous or current sexual transmission infection. ”

The task force said there are 692.7 cases of chlamydia per 100,000 women in the United States. This is almost double that of men, which equates to 380.6 cases per 100,000 men, the task force said. However, gonorrhea is more common in men than women – 212.8 cases per 100,000 men versus 145.8 cases per 100,000 women. Both chlamydial and gonorrhea infections are among the most common sexually transmitted diseases in adults in the United States, according to the task force.

“We encourage physicians to obtain a sexual history of all of their patients and ask their patients about sexual behavior in a confidential, respectful, and culturally appropriate manner,” said Kubik. “There was not enough evidence to draw a conclusion about how often screening should be done, but a reasonable approach to the frequency of screening would be for doctors to examine all patients whose sexual history is new or persistent since their last negative test result Reveals risk factors. “

According to the USPSTF, other sexually transmitted disease task force recommendations that doctors may find helpful are those for hepatitis B and C viruses, HIV, genital herpes, syphilis, and behavioral counseling for all sexually active adolescents and for adults using increased risk of sexually transmitted diseases.

The new draft recommendation corresponds to the recommendation of the USPSTF from 2014 in this clinical area, according to the task force. In contrast to its predecessor, the more recent review summarized all populations in an analytical framework. assessed the accuracy of risk stratification and screening strategies to identify who may be at increased risk; and rated “diagnostic accuracy in anatomical site-specific tests,” wrote the authors of an accompanying evidence review.

“The task force strives to keep all recommendations up to date and to update each recommendation regularly,” added Kubik. “The task force prioritizes issues based on a variety of criteria, including relevance to prevention and primary care, the importance of public health, the potential impact of the recommendation, and whether there is any new evidence that could change a current recommendation.”

The USPSTF is accepting comments on its latest draft recommendation through March 29 through its website: www.uspreventiveservicestaskforce.org/tfcomment.htm

References:

Cantor A et al. Evidence Review. Screening for Chlamydial and Gonococcal Infections: A Systematic Review Update for the US Preventive Services Task Force. Accessed March 1, 2021.

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