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Adolescents Accessing School-Based versus Family Planning Clinics: Chlamydia and Gonorrhea Testing and Treatment Outcomes.
Raphael, Meghna; Abacan, Allyssa A; Smith, Peggy B; Chacko, Mariam R.
  • Raphael M; Department of Pediatrics, Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030, USA.
  • Abacan AA; Department of Obstetrics & Gynecology, Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030, USA.
  • Smith PB; Department of Obstetrics & Gynecology, Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030, USA.
  • Chacko MR; Department of Obstetrics & Gynecology, Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030, USA.
Biology (Basel) ; 11(4)2022 Mar 29.
Article in English | MEDLINE | ID: covidwho-1952948
ABSTRACT
The prevalence and treatment of chlamydia (CT) and gonorrhea (GC) at school-based clinics (SBCs) requires revisiting. To assess whether clinic type influences CT/GC testing and treatment for minors (individuals 13-17 years of age), our study compared four SBCs with five family planning clinics (FPCs) in the Houston, Harris County metropolitan area of Texas, USA for (1) the prevalence of CT/GC infection (pre-COVID-19 and during COVID-19); (2) treatment rates at the last positive diagnosis; and (3) the time, in days, from testing-to-diagnosis and testing-to-treatment. Between January 2019 and December 2020, 2439 unique patients (1579 at SBCs, 860 at FPCs) were seen. Of the 1924 tests obtained, 39.2% and 15.9% were positive for CT and GC, respectively. The prevalence of CT and GC at SBCs was similar prior to COVID-19 vs. during the COVID-19 pandemic. SBCs were able to provide treatment significantly faster after diagnosis (mean, 6.07 days; 95% CI, 3.22-8.90; 94.7% were within 30 days) than FPCs (mean, 17.60 days; 95% CI, 10.15-25.12; 84.7% were within 30 days) (p = 0.0257). This comparison within our large clinic system, with consistent clinical management protocols, suggests that SBC care may be critical to ensuring optimal sexually transmitted infection management in minors.
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Observational study / Prognostic study Language: English Year: 2022 Document Type: Article Affiliation country: Biology11040521

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Observational study / Prognostic study Language: English Year: 2022 Document Type: Article Affiliation country: Biology11040521