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gonorrhea

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Book Chapter
Publisher: American Academy of Pediatrics
Published: January 2021
DOI: 10.1542/9781610025782-S3_048
EISBN: 978-1-61002-578-2
... rate monitoring during labor via scalp electrodes, if the mother has an undiagnosed gonococcal infection. Disseminated gonococcal infection (DGI) occurs in up to 3% of untreated people with mucosal gonorrhea. DGI can manifest as petechial or pustular skin lesions and as asymmetric polyarthralgia...
Book Chapter
Publisher: American Academy of Pediatrics
Published: January 2021
DOI: 10.1542/9781610025782-S5_004_002
EISBN: 978-1-61002-578-2
... and gonorrhea in all pregnant women aged 24 years or younger and older women at high-risk (having new or multiple sex partners, having a sex partner with other concurrent partners, having a sex partner with a sexually transmitted infection). Additional risk factors for gonorrhea screening in pregnant women...
Book Chapter
Publisher: American Academy of Pediatrics
Published: January 2021
DOI: 10.1542/9781610025782-S5_004_004
EISBN: 978-1-61002-578-2
... all of the United States. The necessity for mandatory eye prophylaxis in this country has been questioned, primarily because rates of intrapartum exposure to gonorrhea have been greatly reduced by prenatal screening and treatment of maternal disease. Increasing resistance of gonococcal isolates has...
Book Chapter
Publisher: American Academy of Pediatrics
Published: January 2021
DOI: 10.1542/9781610025782-S2_005_003
EISBN: 978-1-61002-578-2
... are inadequate to evaluate prepubertal children for gonorrhea and should not be used to diagnose or exclude gonorrhea. Every effort should be made to preserve specimens (either NAAT or culture including any isolates) obtained before treatment for further validation if needed. In the case of a positive specimen...
Book Chapter
Publisher: American Academy of Pediatrics
Published: January 2021
DOI: 10.1542/9781610025782-S2_005_002
EISBN: 978-1-61002-578-2
.... Depending on health department resources, partner services may be offered for some gonorrhea cases and occasionally for chlamydia. If it appears unlikely that partners of patients treated for gonococcal or chlamydial infections will seek care, pediatricians may consider providing expedited partner therapy...
Book Chapter
Publisher: American Academy of Pediatrics
Published: January 2021
DOI: 10.1542/9781610025782-S3_101
EISBN: 978-1-61002-578-2
... biologic susceptibility to STIs. Cervical ectopy increases risk of chlamydia and gonorrhea infection by exposing columnar epithelium to a potential infectious inoculum. An incubation period for PID is undefined. Centers for Disease Control and Prevention (CDC) criteria for clinical diagnosis...
Book Chapter
Publisher: American Academy of Pediatrics
Published: January 2021
DOI: 10.1542/9781610025782-S3_028_003
EISBN: 978-1-61002-578-2
... of genitourinary tract chlamydial disease in a child should prompt examination for other STIs , including syphilis, gonorrhea, trichomoniasis, human immunodeficiency virus (HIV), hepatitis B virus, hepatitis C virus, and investigation of sexual abuse. Serologic testing has little, if any, value in diagnosing...
Book Chapter
Publisher: American Academy of Pediatrics
Published: January 2021
DOI: 10.1542/9781610025782-S2_005_001
EISBN: 978-1-61002-578-2
... of age. Although an STI in an infant or child early in life can be the result of vertical transmission, nonabusive horizontal transmission, or autoinoculation, STIs (eg, gonorrhea, syphilis, chlamydia, genital herpes, human immunodeficiency virus [HIV] infection, trichomoniasis, or anogenital warts...
Book Chapter
Publisher: American Academy of Pediatrics
Published: January 2021
DOI: 10.1542/9781610025782-S2_006_002
EISBN: 978-1-61002-578-2
... with involvement of the central nervous system, may not have been diagnosed or may have been treated inadequately in children from some resource-limited countries. Immigrant, adoptee, and refugee children 15 years and older are required to have testing for syphilis and gonorrhea as part of the required overseas...
Book Chapter
Publisher: American Academy of Pediatrics
Published: January 2021
DOI: 10.1542/9781610025782-S3_146
EISBN: 978-1-61002-578-2
.... The United States population-based TV prevalence is 2.1% among females and 0.5% among males, with the highest rate among Black women (9.6%) and Black men (3.6%), compared with non-Hispanic white females 0.8% and Hispanic females 1.4%. Unlike chlamydia and gonorrhea, TV prevalence rates are as high among...
Book Chapter
Publisher: American Academy of Pediatrics
Published: January 2021
DOI: 10.1542/9781610025782-S5_004_003
EISBN: 978-1-61002-578-2
..., preemptive therapy should be considered. If gonorrhea is prevalent in the region and prenatal treatment cannot be ensured, or where required by law, a prophylactic agent of 0.5% erythromycin ointment should be instilled into the eyes of all newborn infants (including those born by cesarean delivery...
Book Chapter
Publisher: American Academy of Pediatrics
Published: January 2021
DOI: 10.1542/9781610025782-APP_III
EISBN: 978-1-61002-578-2
... Dengue-like illness Severe dengue Diphtheria Ehrlichiosis and Anaplasmosis Anaplasma phagocytophilum infection Ehrlichia chaffeensis infection Ehrlichia ewingii infection Undetermined human ehrlichiosis/anaplasmosis Giardiasis Gonorrhea...
Book Chapter
Publisher: American Academy of Pediatrics
Published: January 2021
DOI: 10.1542/9781610025782-S3_026
EISBN: 978-1-61002-578-2
.... Close clinical follow-up is recommended; retreatment with the original regimen usually is effective in patients who experience a relapse. Patients with chancroid should be evaluated for other sexually transmitted infections, including syphilis, herpes simplex virus, chlamydia, gonorrhea, and HIV...
Book Chapter
Publisher: American Academy of Pediatrics
Published: January 2021
DOI: 10.1542/9781610025782-S3_013
EISBN: 978-1-61002-578-2
... (PCR) assays might be more useful, particularly in the diagnostic workup of symptomatic females with recurrent or refractory vaginitis. Sexually active females with BV should be evaluated for coinfection with other STIs, including syphilis, gonorrhea, chlamydia, trichomoniasis, and HIV infection...
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