Since achieving historic lows, the rates of many sexually transmitted infections has been increasing in the United States. The problem is highlighted by the continued emergence of antibiotic resistance in Neisseria gonorrhoeae.
According to a new report, serious gaps exist in the research pipeline regarding the development of prevention and treatment options for sexually transmitted infections such as gonorrhea, chlamydia, and syphilis.
Since 2006, the Centers of Disease Control and Prevention has recommended the use of expedited partner therapy (EPT) for treatment of sexually transmitted infections such as gonorrhea and chlamydia, but the infection rate continues to climb.
Unfortunately, adolescents are at increased risk for sexually transmitted infections secondary to high-risk sexual behavior, victims of commercial sexual exploitation, or sexual experimentation. The consequences can be devastating in the long term. Clinicians must maintain a high degree of suspicion and sensitivity (since most teenagers are reluctant to seek medical care and may not share all the information the clinician needs) to make this diagnosis, minimize complications, and optimize outcome for this vulnerable population.
New data from the National Youth Risk Behavior Survey indicate the percentage of high school students who are currently sexually active has been decreasing since 1991, with it dropping from 38% in 1991 to 30% in 2015.
Researchers at the Baltimore-based Johns Hopkins University say an online “pop quiz” they developed in 2009 shows promising accuracy in predicting sexually transmitted infections in young women, although not apparently in young men.