- Opportunistically offer chlamydia screening to all young people at least annually.
- Testing for chlamydia, hepatitis B, syphilis and HIV is recommended, as per the Standard Asymptomatic Check-up Guideline.
- Confirm hepatitis B status and vaccinate if not immune.
Clinician collected | Self-collection
Clinical indicators for testing
- Testing for other infections and more frequent testing should be considered based on local STI prevalence, symptoms, clinical findings, diagnosis with an STI, contact with someone with a diagnosed or suspected STI and risk assessment (including specific sexual behaviour and condom use).
- It is not recommended to routinely test for herpes and genital warts with serology. Consider testing for herpes and genital warts only if there are clinical signs and symptoms.
Cervical screening and STI tests
An endocervical swab for Nucleic Acid Amplification Test (NAAT) may be collected at the time of cervical screening. Currently in Australia, cervical screening is not recommended until a young woman has turned 18 years old or 2 years after first intercourse, whichever is later.
Ask the young person about the best way to contact them with test results and reminders. From the age of 15 years, young people can apply for their own Medicare card.
- Young people under 18 years may be capable of giving consent to treatment provided they have sufficient understanding of the nature and effect of the treatment. There is specific legislation in New South Wales and South Australia that relates to the medical treatment of children and minors and common law applies in other jurisdictions.
- See the Adolescent Health GP Resource Kit, 2nd Edition for more information.
If test results are positive, refer to relevant STI management section:
Even if all test results are negative, use the opportunity to:
- Educate about negotiating safe sex, how to use condoms and risk minimisation. When appropriate, address contraception needs
- Vaccinate for hepatitus A, hepatitis B and human papillomavirus (HPV), if susceptible
- Offer reminders for regular screening tests e.g. annual chlamydia test.