screening for nonpregnant women depends on the age of the patient and
assessment of risk factors (Box 27.1).
The diagnosis of certain STDs
should also prompt screen-ing for other sexually transmitted infections. When a
patient is diagnosed with cervicitis, she should also be screened for PID,
chlamydial infection, gonorrhea, bacterial vaginosis, and trichomoniasis and
treated, if necessary. A woman diag-nosed with PID should be tested for
chlamydial infection, gonorrhea, and HIV.
ACOG STD Screening Recommendations
active women 25 years and younger should be routinely screened for chlamydial
sexually active adolescents should be routinely screened for gonorrhea.
with developmental disabilities should be screened for STDs.
screening is recommended for all women who are or ever have been sexually
active. (Physicians should be aware of and follow their states’ HIV screening
Screening Based On Risk Factors:
with a history of multiple sexual part-ners or a sexual partner with multiple
contacts, sexual contact with culture-proved STDs,a history of repeated
episodes of STDs, or attendance at clinics for STDs should be regularly
screened for STDs.
women aged 26 and older who are at high risk for infection should be routinely
screened for chlamydial infection and gonorrhea.
College of Obstetricians and Gynecologists. Guidelines
for Women’s Health Care: A Resource Manual. 3rded. Washington, DC: American
College of Obstetricians and Gynecologists; 2007:201.