To the Editor.—

The article "Screening for Pharyngeal Gonorrhea in the Urban Teenager"1 is clearly of value to pediatricians. However, I believe the final conclusion of the paper, which advocates routine culture for pharyngeal gonorrhea "whenever genital cultures are collected," is premature. As a single culture for gonorrhea is currently $18 in our laboratory, triplicate screening cultures of the pharynx, rectum, and cervix would be a financial burden to most asymptomatic adolescents in a low-risk setting (asymptomatic rate 1% to 2%).

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