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The Hidden Epidemic: Confronting Sexually Transmitted Diseases (1997)
Institute of Medicine (IOM)

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. "APPENDIX F." The Hidden Epidemic: Confronting Sexually Transmitted Diseases. Washington, DC: The National Academies Press, 1997.

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RECOMMENDED INTERVENTIONS DURING THE PERIODIC HEALTH EXAMINATION FOR THE PREVENTION OF STDs, U.S. PREVENTIVE SERVICES TASK FORCE, 1996

Age Group (in years)

Interventions for General Population

Strength of Recommendationa

Interventions for Populations with High-Risk Sexual Behavior

Strength of Recommendationa

Birth-10

• Immunize for hepatitis B (birth, 1 month, 6 months; or 0-2 months, 1-2 months later, and 6-18 months; if not done in infancy, current visit and 1 and 6 months later).

A

• HIV testing (for infants of mothers at high risk for HIV)b

B

 

• Give ocular prophylaxis to prevent gonococcal ophthalmia neonatorum (for newborns).

 

 

 

11-24

• Screen with Papanicolaou (Pap) test (for females who are sexually active at present or in the past, at least every 3 years. If sexual history is unreliable, begin Pap tests at age 18 years).

A

• RPR/VDRL (serological test for syphilis)c; • Screen for gonorrhea (for females)d; • HIVe; • Chlamydial (for females)g

A; B; A; B

 

• Screen for chlamydial (for sexually active females < 20 years old).

B

• Hepatitis A vaccineh

B

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