Manikam Logan, Rogstad Karen, Singh Gurdeep, Lakhanpaul Monica
Department of Genitourinary Medicine, North Staffordshire Royal Infirmary, Stoke-on-Trent, UK.
Arch Dis Child Educ Pract Ed. 2012 Aug;97(4):132-42. doi: 10.1136/archdischild-2011-300620. Epub 2011 Oct 28.
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.
性传播感染（STI）包括多种可通过性接触传播的感染。双方自愿的性关系在青少年中已变得很普遍，并且对性虐待或剥削的认识有所提高，导致有性健康问题的儿童前来就诊的人数增加。在儿童中诊断和管理性传播感染仍然存在困难。随着越来越强调儿科医生参与过渡性护理，具备获取性病史和识别临床表现的能力仍然至关重要。此外，需要了解诊断方法的优势和局限性。此外，对于这个年龄组的特定其他问题，如诊断和治疗的独立同意、对怀孕的恐惧以及隐私和保密问题，应予以谨慎处理。未能解决这些问题可能导致与医疗服务脱节，从而给年轻人带来潜在的短期和长期健康及社会不良后果。本综述旨在概述诊断和管理患有性传播感染的青春期儿童的方法以及对围绕儿童护理的独特问题的考虑。
