Prospective Study
Copyright ©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Pediatr. Aug 8, 2017; 6(3): 154-160
Published online Aug 8, 2017. doi: 10.5409/wjcp.v6.i3.154
Screening for asymptomatic chlamydia and gonorrhea in adolescent males in an urban pediatric emergency department
Megan E Maraynes, Jennifer H Chao, Konstantinos Agoritsas, Richard Sinert, Shahriar Zehtabchi
Megan E Maraynes, Ochsner Medical Center, University of Queensland, Jefferson, LA 70121, United States
Jennifer H Chao, Konstantinos Agoritsas, Richard Sinert, Shahriar Zehtabchi, SUNY Downstate Medical Center and the Kings County Hospital Center, Brooklyn, NY 11203, United States
Author contributions: All authors contributed to this paper.
Institutional review board statement: The State University of New York Downstate institutional review board approved the study protocol.
Informed consent statement: All participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: We have no conflicts of interest to disclose.
Data sharing statement: There is no additional data available.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Megan E Maraynes, MD, FAAP, Section Head, Ochsner Medical Center, University of Queensland, 1514 Jefferson Highway, Jefferson, LA 70121, United States. megan.maraynes@ochsner.org
Telephone: +1-914-4190533
Received: January 19, 2017
Peer-review started: January 19, 2017
First decision: April 19, 2017
Revised: May 24, 2017
Accepted: June 12, 2017
Article in press: June 13, 2017
Published online: August 8, 2017
Core Tip

Core tip: Chlamydia trachomatis and Neisseria gonorrhea are the most common bacterial sexually transmitted infections (STIs), the sequelae of which are among the most costly of any STI except human immunodeficiency virus infection and acquired immune deficiency syndrome. Disease is often asymptomatic in young males, for whom there is a lack of consensus on screening recommendations and who are screened less often than women. Most studies on emergency department screening focus on young females, or group both asymptomatic and symptomatic patients together. We found 6.3% prevalence of asymptomatic Chlamydia by screening adolescent males who were not seeking screening and would likely not otherwise have been tested.