Urethritis screening: Difference between revisions

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Revision as of 17:48, 28 September 2016

Urinary Tract Infections Main Page

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Seyedmahdi Pahlavani, M.D. [2]


Overview

There is no recommendation for urethritis screening.

Screening

According to the the U.S. Preventive Service Task Force (USPSTF), screening for sexually transmitted disease is recommended as outlines below.


  • Chlamydia Trachomatis
Population Recommendations
Women
  • Sexually active women under 25 years of age
  • Sexually active women age 25 years and older if at increased risk
    • Prior history of sexually transmitted infection
    • A new sex partner
    • More than one sex partner
    • A sex partner with concurrent partners
    • A sex partner who has a sexually transmitted infection
  • Retest 3 months after treatment.
Men Consider screening young men in high prevalence clinical settings or in populations with high burden of infection(e.g.Men who have sex with men)
Pregnant women
  • All pregnant women under 25 years of age
  • Pregnant women, aged 25 and older if at increased risk
  • Retest during the 3rd trimester for women under 25 years of age or at risk
  • Pregnant women with chlamydial infection should have a test-of-cure 3-4 weeks after treatment and be retested within 3 months
HIV positive patients
  • For sexually active individuals, screen at first HIV evaluation, and at least annually
  • More frequent screening may be indicated depending on individual risk behaviors and the local epidemiology