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Management of sexually transmitted infections in pubertal children
  1. Logan Manikam1,
  2. Karen Rogstad2,3,
  3. Gurdeep Singh1,
  4. Monica Lakhanpaul4,5
  1. 1Department of Genitourinary Medicine, North Staffordshire Royal Infirmary, Stoke-on-Trent, UK
  2. 2Department of Genitourinary Medicine, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK
  3. 3School of Medicine, University of Sheffield, Sheffield, UK
  4. 4Leicester City Community Health Services, Leicester, UK
  5. 5Department of Medical Education & Social Care, University of Leicester, Leicester, UK
  1. Correspondence to Logan Manikam, Department of Genitourinary Medicine, North Staffordshire Royal Infirmary, 26 West Avenue, Leicester LE2 1TR, UK; logan.manikam{at}doctors.org.uk

Abstract

Sexually transmitted infections (STI) comprise a variety of infections transmissible through sexual contact. Mutually consenting sexual relationships have become commonplace in adolescence and sexual abuse or exploitation awareness has risen, resulting in increased presentations of children with sexual health concerns. Difficulties persist in diagnosing and managing STIs in children. With increased emphasis on paediatrician's involvement in transitional care, competence in sexual history taking and clinical presentation recognition remains essential. Additionally, an awareness of strengths and limitations of diagnostic modalities needs to be present. Furthermore, specific additional issues in this age group such as independent consent for diagnosis and treatment, fear of pregnancy and privacy and confidentiality concerns should be addressed carefully. Failure to address these issues may lead to disengagement with health services resulting in potentially adverse short- and long-term health and social consequences in young persons. This review aims to provide an overview of an approach to diagnosing and managing a pubertal child with an STI and the consideration of the unique issues surrounding children's care.

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Footnotes

  • Competing interests None.

  • Provenance and peer review Commissioned; externally peer reviewed.

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