1. Sexually Transmitted Infections in the Milwaukee County Juvenile Detention Center Wendi Ehrman MD Milwaukee Adolescent Health Program Medical College of Wisconsin

2. Detention Center Demographics 2008  1479 individual patients seen  2672 patient interactions  80% males  88% sexually active

3. STI results  1425 juveniles urine tested for GC/CT  11% positive (158)  181 cases of GC/CT  81.5% tested were female

4. STI results  Females: 36.5% of all positive results 36.5% of all positive results 21% of all females tested were positive 21% of all females tested were positive 66 cases of GC/CT in 264 tested females 66 cases of GC/CT in 264 tested females

5. STI results  Males 63.5% of all positive results 63.5% of all positive results 9% (104) of all males tested were positive 9% (104) of all males tested were positive 115 cases of GC/CT in 1161 males tested 115 cases of GC/CT in 1161 males tested

6. Chlamydia results  141 cases of chlamydia  10% of all juveniles tested positive

7. Gonorrhea results  40 cases of gonorrhea  3% of all juveniles tested positive  1.5% (22) were positive for both GC/CT

8. Repeat Infections  3.5% reinfection rate within a 2 year period  20% again tested positive within 3 months  Majority had sex with untreated partners