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Clinical Pediatrics
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Gonococcal and Chlamydial Genitourinary Infections in Symptomatic and Asymptomatic Adolescent Women

Frank M. Biro

Department of Pediatrics, University of Cincinnati College of Medicine, Division of Adolescent Medicine, Children's Hospital Medical Center, Cincinnati, Ohio

Susan L. Rosenthal

Department of Pediatrics, University of Cincinnati College of Medicine, Division of Adolescent Medicine, Children's Hospital Medical Center, Cincinnati, Ohio

Melissa Kiniyalocts

Division of Adolescent Medicine, Children's Hospital Medical Center, Cincinnati, Ohio

To determine the prevalence of Chlamydia trachomatis and Neisseria gonorrhoeae endocervical infections in a group of adolescent women, gynecologic histories and evaluations were done on symptomatic and asymptomatic adolescent women presenting for pelvic examinations in an urban, hospital-based, adolescent clinic. C. trachomatis and N. gonorrhoeae cultures and three nonculture diagnostic tests for chlamydia (two ELISA assays and one DNA-probe) were performed on each patient. Patients were 12 to 21 years of age (mean 17.0); 53% were African-American, and 47% were Caucasian. Two hundred twenty-eight women were asymptomatic and 249 women had symptoms. There were 64 cases of chlamydia and 19 cases of gonorrhea; an additional 11 patients had both chlamydia and gonorrhea. Approximately one third of patients with chlamydia, gonorrhea, or both had asymptomatic disease, an important reservoir of infection.

Clinical Pediatrics, Vol. 34, No. 8, 419-423 (1995)
DOI: 10.1177/000992289503400804
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