Phillips S, Spence M R
J Adolesc Health Care. 1983 Jun;4(2):128-34. doi: 10.1016/s0197-0070(83)80035-7.
Gonorrhea has reached epidemic proportions and poses a significant health problem for teenagers. The attitudes and behavior of adolescents play a major role in the increase of gonococcal infection, interacting with characteristics of the disease and public health issues. Controlling gonorrhea among teenagers thus requires attending to the medical and psychosocial issues. Accurate diagnosis is dependent, in part, on eliciting a valid sexual history. Selection of a laboratory protocol should reflect not only the sensitivity and specificity of a test but its acceptability to teenagers. Similarly, there is no longer a single "drug of choice" for treatment. Patient acceptability, potential for noncompliance, toxicity, cost, jeopardy to other uses, and possible coexistent infection are factors to be considered in addition to efficacy. Finally, medication is only part of the treatment plan, which includes sexual abstinence, therapy for sexual partners, and returning for a test of cure. Compliance with the entire treatment plan can often be enhanced by maximizing communication and rapport with the adolescent.
淋病已呈流行态势，给青少年带来了重大的健康问题。青少年的态度和行为在淋球菌感染增加方面起着主要作用，与该疾病的特征及公共卫生问题相互影响。因此，控制青少年中的淋病需要关注医学和社会心理问题。准确诊断部分取决于获取有效的性病史。实验室检测方案的选择不仅应反映检测的敏感性和特异性，还应考虑青少年对其的接受程度。同样，治疗不再有单一的“首选药物”。除疗效外，还需考虑患者的接受度、不依从的可能性、毒性、成本、对其他用途的影响以及可能并存的感染等因素。最后，药物治疗只是治疗方案的一部分，该方案还包括性禁欲、性伴侣治疗以及复诊以进行治愈检测。通过与青少年最大限度地沟通并建立融洽关系，往往可以提高对整个治疗方案的依从性。
