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October 1977

Gonorrhea: Diagnosis by Gram Stain in the Female Adolescent

Author Affiliations

From the Department of Pediatrics and the Division of Infectious Diseases, Department of Medicine, University of Maryland School of Medicine, Baltimore.

Am J Dis Child. 1977;131(10):1094-1096. doi:10.1001/archpedi.1977.02120230040006

• The Gram-stained smear of secretions in female children and adolescents was evaluated as a diagnostic aid in acute gonorrhea. A positive smear was defined as the presence of at least eight or more pairs of Gram-negative, kidney-bean-shaped diplococci in each of at least two polymorphonuclear leukocytes. When the Gram-stained smear was compared with culture results in female patients it detected two thirds of infections and had a very high specificity. When the smear was positive, the culture was positive in 96% of the cases. The Gram-stained smear of cervical secretions is recommended as a guide to the early diagnosis of gonorrhea and its prompt therapy in the pediatric age group.

(Am J Dis Child 131:1094-1096, 1977)

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