Sexually transmitted infections in pediatric renal transplant recipients: Time to take notice!. (23rd June 2015)

• Record Type: Journal Article
• Authors: Ashoor, Isa; Aviles, Diego; Pasternak, Ryan; Vehaskari, Vesa M.
• Is Part Of: Pediatric transplantation. Volume 19:Number 6(2015:Sep.)
• Page Start: 584
• Page End: 587
• Publication Date: 2015-06-23
• Subjects: Transplantation of organs, tissues, etc. in children -- Periodicals; 617.95408305
• DOI: 10.1111/petr.12554
• Languages: English
• ISSNs: 1397-3142

Abstract

<abstract abstract-type="main" id="petr12554-abs-0001"> <title>Abstract</title> <p>We sought to assess the prevalence of STIs, contraception use, and unintentional pregnancy in our pediatric renal transplant recipients. We performed a retrospective chart review. Forty‐nine of 65 patients in our program are currently in the high‐risk age window of 13 yr or older (34 men, 15 women; mean age 17 yr old, range 13–23 yr old). There was a disproportionate difference in sexual behavior among the men and women, such that while only 15% of the men reported being sexually active, 53% of the women were sexually active. Among high‐risk age‐group women, 40% were on hormonal contraception. This increased to 75% in sexually active women. There were no cases of unintentional pregnancy. Thirty percent of sexually active recipients had at least one STI. This was higher among sexually active women (37.5%) compared to men (20%). STIs identified included gonococcal and chlamydial urethritis/cervicitis, Trichomonas vaginitis, HSV‐2 genital sores, pelvic inflammatory disease, and HIV. In conclusion, STIs are a realistic public health concern in our pediatric renal transplant recipients. Consensus guidelines on STI screening and reproductive health counseling are needed to address this understudied problem.</p> </abstract>