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Currently, substantial numbers of adolescents engage in sexual intercourse: 34% have experienced their sexual debut by ninth grade and 63% by 12th grade.1 Although these rates have slowly decreased from 15 years ago the adolescent age group continues to be at the highest risk for STIs.


This chapter provides an overview of common STIs including the pathogenesis, common clinical syndromes, diagnostic approach and treatment for bacterial, fungal and viral infections (see Table 233-1), and for clinical For the most contemporary guidelines on treatment regimens it is useful to refer to the Centers for Disease Control and Prevention (CDC) web site since alterations in optimal treatment approaches may change as antibiotic-resistance patterns and the availability of specific medications changes.

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Table 233-1. Common Sexually Transmitted Diseases in Adolescents

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