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One Size Does Not Fit All

Diane R. Blake, MD

Arch Pediatr Adolesc Med. 2009;163(6):585-586.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

In this issue of the Archives, Tebb et al¹ describe a strategy for increasing Chlamydia trachomatis (CT) screening rates among adolescent girls who make urgent care visits to a large health maintenance organization (HMO). Why is such a study important? C trachomatis, the most common bacterial sexually transmitted infection in the United States, disproportionately affects sexually active women between the ages of 15 and 24 years.² The vast majority of CT infections are asymptomatic³; therefore, most infections will be detected only through systematic screening efforts. Left untreated, CT may progress to pelvic inflammatory disease with possible sequelae of infertility and ectopic pregnancy.³

Many organizations, including the Centers for Disease Control and Prevention³ and the US Preventive Services Task Force,⁴ have written guidelines recommending annual CT screening in sexually active females aged 25 years and younger. However, many eligible adolescent girls and young adult . . . [Full Text of this Article]

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