PEDIATRICS Vol. 71 No. 3 March 1983, pp. 333-336
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Prevalence of Cervical Chlamydia trachomatis and Neisseria gonorrhoeae in Female Adolescents

John J. Fraser Jr MD1, Philip J. Rettig MD1, and David W. Kaplan MD, MPH1

1 From the Department of Pediatrics, College of Medicine, University of Oklahoma Health Sciences Center, and Oklahoma Children's Memorial Hospital, Oklahoma City

The prevalence of cervical infection with Chiamydia trachomatis and Neisseria gonorrhoeae was examined in 125 girls receiving primary gynecologic care in a general adolescent clinic. C trachomatis was isolated in 8% of the patients using a microtiter tissue-culture method, and N gonorrhoeae was found in 12%. A significant association was found between the use of oral contraceptives and positive chlamydial cultures. Patients with Chlamydia-positive cultures were frequently asymptomatic and exhibited no positive findings on physical examination. Three of ten women with cervical chlamydial infection developed pelvic inflammatory disease. These results support the use of cervical screening for both of these pathogens in sexually active adolescents.

Key Words: Chlamydia trachomatis • Neisseria gonorrhoeae • adolescent girls • sexually transmitted diseases

Submitted on March 23, 1982
Accepted on June 9, 1982




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