![]() Test of cure not routinely recommended, however, re-testing to detect re-infection at 3 months is recommended.Follow-up after 1 week with GP or other health professional to confirm symptom resolution and contact tracing complete, provide sexual health education and prevention.Laboratory will notify department of health.No sexual contact with partners from the last 6 months, until the partners have been tested and treated if necessary.No sexual contact for 7 days after treatment is administered.If high index of suspicion, treat without waiting for lab results.Symptomatic anorectal infection requires treatment with doxycycline for 21 days OR azithromycin 1 g stat followed by repeat dose in 12-24 hours.doxycycline 2 mg/kg (max 100 mg) PO bd for 7 days (generally not recommended for children ≤8 years)Īzithromycin 20 mg/kg (max 1 g) PO single dose.Uncomplicated genital infection or asymptomatic rectal infection.Anorectal and pharyngeal swabs for NAAT for MSM.First pass urine OR self-collected vaginal swab OR clinician-collected endocervical swab for chlamydia Nucleic Acid Amplification Test (NAAT) using specific swab kit eg cobas®.Can also infect the eye, anus and rarely throat.50% of men and 75% of women have no symptoms.Immunity to new infection is not provided by previous infection.Risk of pregnancy and test where appropriate.Associated risk factors (in young person and their partners) for transmission of STIs including intravenous drug use, sex work, body piercing, tattoos.Contraceptive use (always / sometimes / never) including barrier methods.Whether sexual partners are male, female, both (and partners’ partners, due to increased STI risk in men who have sex with men (MSM)).When / who / how (vaginal, anal, oral) of recent sexual activity.If an asymptomatic adolescent requests an STI screen, the investigations undertaken will depend on the information provided in their sexual historyĪdolescents have the legal right to confidential health care unless they cannot be considered mature minors and/or there is significant concern regarding risk ie harm to self or others, physical or sexual abuse History.STIs are a major cause of infertility and pregnancy-related complications as well as pelvic inflammatory disease (PID).Young people aged 15-24 have the highest rates of chlamydia and gonorrhoea in Australia.If concerns of sexual abuse, urgent referral to appropriate local services is needed, as time-critical samples may be required ![]() Rarely, STIs may be an indication of sexual abuse.Adolescents have a legal right to confidential care and adequate information in order to consent to investigation and management.STI screening and counselling about prevention should be offered opportunistically to all sexually active adolescents who present for healthcare.Many STIs are asymptomatic, but can cause serious complications.Vulval ulcers Vulval and vaginal conditions Child abuse Engaging with and assessing the adolescent patient Key points
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