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March 1972

Gonorrhea in Adolescent Girls in a Closed PopulationPrevalence, Diagnosis, and Treatment

Author Affiliations

Madison, Wis
From the Department of Health and Social Services, Division of Correction, Wisconsin School for Girls, and State Laboratory of Hygiene, Madison, Wis.

Am J Dis Child. 1972;123(3):185-189. doi:10.1001/archpedi.1972.02110090055001

In a closed population of 1,899 girls, vaginal and cervical smears and cultures were evaluated for diagnosis of gonorrheal infection. Two hundred twenty six cases (11.8%) were diagnosed on primary admission or readmission. Positive diagnoses were made on 213 (94.2%) by vaginal specimens; cervical specimens taken later revealed an additional 13 (5.8%). Of 268 positive specimens, 177 were positive by the culture method and negative by the gram-stained smear. From 1966 to 1968, three of 121 patients (2.3%) treated with five daily injections of aqueous penicillin G procaine, 1.2 million units, were treatment failures. From 1968 to 1969, four of 62 patients (6.4%) treated with 2.7 million units of a mixture of procaine and sodium forms of penicillin G in aqueous solution were treatment failures. All treatment failures responded either to a different penicillin regimen or to tetracycline.