Impact of education and clinic site champion on extragenital testing for sexually transmitted infections.

IF 1.4 4区医学 Q4 IMMUNOLOGY

International Journal of STD & AIDS Pub Date : 2024-09-01 Epub Date: 2024-05-16 DOI:10.1177/09564624241254875

Victoria C Cunningham, Jonathan Hurdelbrink, Hayden L Smith, Katherine R Sittig, Lisa A Veach

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引用次数: 0

Abstract

Background: Sexually transmitted infections (STIs) are on the rise in the United States. Infections at extragenital (EG) sites (throat or rectum) may serve as an overlooked reservoir for STIs. The aims of this project were to determine the proportion of patients receiving EG testing and to observe the impact of an educational intervention.

Methods: Phase I included four urgent care clinics and baseline data for adults receiving STI testing (Chlamydia trachomatis and Neisseria gonorrhoeae). Clinics received access to an educational presentation regarding the importance of EG testing. Two of these clinics served as pilot sites for the implementation of self-collection kits. Phase II involved further expansion and utilization of clinic site champions.

Results: Phase I baseline data indicated that less than 1% of samples from patients receiving STI testing were from EG sites. There was an increase in EG testing after the educational intervention and implementation of self-collection kits. A larger increase in EG testing was seen after utilization of a site champion in Phase II.

Conclusion: EG infections serve as a potential source for STI transmission which makes multi-site testing necessary. Our interventions to improve EG testing were most effective in Phase II after implementing a clinic site champion.

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教育和诊所地点冠军对性传播感染生殖器外检测的影响。

背景：性传播感染（STI）在美国呈上升趋势。生殖器外（EG）部位（咽喉或直肠）的感染可能是被忽视的性传播疾病储藏库。本项目旨在确定接受 EG 检测的患者比例，并观察教育干预措施的效果：第一阶段包括四家急诊诊所和接受性传播感染检测（沙眼衣原体和淋病奈瑟菌）的成人基线数据。诊所可获得有关 EG 检测重要性的教育介绍。其中两家诊所作为试点，使用自采试剂盒。第二阶段包括进一步扩大和利用诊所现场冠军：第一阶段的基线数据显示，接受性传播感染检测的患者样本中，只有不到 1%来自 EG 检测点。在采取教育干预措施和使用自采试剂盒后，EG 检测率有所上升。结论：EG 感染是一种潜在的性传播疾病：结论：EG 感染是性传播感染的潜在传播源，因此有必要进行多站点检测。在第二阶段中，我们采取的改善 EG 检测的干预措施在设立诊所站点负责人后最为有效。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of STD & AIDS 医学-传染病学

CiteScore

2.60

自引率

7.10%

发文量

144

审稿时长

3-6 weeks

期刊介绍： The International Journal of STD & AIDS provides a clinically oriented forum for investigating and treating sexually transmissible infections, HIV and AIDS. Publishing original research and practical papers, the journal contains in-depth review articles, short papers, case reports, audit reports, CPD papers and a lively correspondence column. This journal is a member of the Committee on Publication Ethics (COPE).