Adolescent: STI screening, Pap smear
New laboratory methods allow for easy, noninvasive testing for important STIs.
In particular, highly sensitive and specific DNA
amplification tests, such as those using the polymerase chain reaction, can be
performed on urine specimens to identify infections with Chlamydia trachomatis
and Neisseria gonorrhoeae, making spontaneous testing more appealing to most
at-risk teenagers. In the past, these infections were identified only after a
cervical specimen was obtained during the pelvic examination.
Interpreting Cytology Results
Last updated February 2009
Moscicki, AB. Conservative management of adolescents with abnormal cytology and histology. J Natl Compr Canc Netw. 2008;6:101-106
Wright TC Jr, Massad LS, Dunton CH, et al. 2006 consensus guidelines for the management of women with abnormal cervical cancer screening tests. Am J Obstet Gynecol. 2007; 197:346-355
ACOG Committee Opinion. Evaluation and management of abnormal cervical cytology and histology in the adolescent. Obstet Gynecol. 2006. 107: 963-968.
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eds. Textbook of Pediatric Emergency Medicine. 4th ed. Philadelphia,
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