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• W2012983708 abstract "Disturbing trends are revealed in the CDC Sexually Transmitted Disease Surveillance 2006. Rates of gonorrhea (GC), chlamydia (CT), and syphilis increased in 2006. Since the 15e24 age group bears the highest disease burden for GC and CT, this trend is worrisome and deserves some examination of possible causes. Gonorrhea rates increased in 2006 for the second consecutive year. As in previous years, the South had the highest GC rates of the four regions of the USA. For many years the GC rates in the South had been declining, but in 2006, the GC rates rose by 12.3%. In contrast, the GC rate in the Northeast declined by 21.2%. The trend is similar for African Americans. After ten years of declining rates of GC, in 2006, the GC rate for African Americans increased by 6.3%. While the rate of GC among African Americans has always been greater than that of Caucasians, recent trends demonstrate that the disparity has gotten smaller. For the second consecutive year gonorrhea rates among women are slightly higher than among men, which has not been the case historically. In 2006, the GC rates continued to be highest among adolescents and young adults. The highest rates were among 15e19 year old females. This age group of females also has the distinction of having the highest rates of CT. African American women are disproportionately affected, having rates of CT more than seven times that of Caucasian females. GC and CT are major causes of PID in young women. Since the rates of CT are so high in young women, CDC now recommends annual CT screening for all sexually active women under age 26. Repeat testing in 3 months is recommended because the re-infection rate is high. For this reason, it makes sense to treat partners for CT, which can be done even in services that routinely treat only females. If getting the male partner in for treatment is unsuccessful, a prescription for azithromycin 2 gm in the partner’s name can be given to the female patient. That represents a more serious effort to reduce CT rates." @default.
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• W2012983708 date "2008-12-01" @default.
• W2012983708 modified "2023-09-26" @default.
• W2012983708 title "Rising STD Rates" @default.
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• W2012983708 doi "https://doi.org/10.1016/j.jpag.2008.01.069" @default.
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