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In a retrospective study of males aged 15–21 who presented to an urban pediatric emergency department with urinary complaints or suspected sexually transmitted infection (STI), investigators described evaluation and treatment patterns and rates of STI and assessed the usefulness of urinalysis. Patients with primary scrotal/testicular pain were excluded.
Of 216 patients who made 270 visits during 2007, urinalysis was performed in 64%, urine culture in 53%, Neisseria gonorrhoeae (GC) and Chlamydia trachomatis (CT) nucleic acid testing in 93%, and Trichomonas vaginalis (TV) culture in 5%. Overall, 91% of patients were treated empirically for GC and CT, 18% for TV, and 5% for urinary tract infection. Sixty-four percent of patients tested positiv…