TY - JOUR T1 - <span hwp:id="article-title-1" class="article-title">Vaginal douching increased risk of sexually transmitted infections in high-risk adolescents</span><span hwp:id="article-title-2" class="sub-article-title">Commentary</span> JF - Evidence Based Nursing JO - Evid Based Nurs SP - 88 LP - 88 DO - 10.1136/ebn.12.3.88 VL - 12 IS - 3 AU - Lynn Rew Y1 - 2009/07/01 UR - http://ebn.bmj.com/content/12/3/88.abstract N2 - Does vaginal douching increase risk of sexually transmitted infections (STIs) in high-risk adolescents?Design:prospective cohort study (substudy of Reaching for Excellence in Adolescent Care and Health [REACH] Project) with median follow-up of 3 years.Setting:16 centres in the USA.Participants:368 females 12–19 years of age (mean age 17 y, 65% had HIV infection) who were considered to be at high risk of STIs and were STI-free at baseline or became STI-free after treatment.Risk factor:douching status (assessed every 6 mo): never (did not report douching at any visit), intermittent (reported douching at some, but not all, visits), or always (reported douching at all visits).Outcomes:incidence of an STI (Trichomonas vaginalis, Chlamydia trachomatis, Neisseria gonorrhoeae, or herpes … ER -