{"title":"在确诊患有镰状细胞病的青少年中加强性传播感染筛查：质量改进项目。","authors":"Myckayla Ashlee Perry","doi":"10.1016/j.pedhc.2024.09.008","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Sexually transmitted infections (STIs) affect 20 million adolescents and young adults in the United States annually.</p><p><strong>Local problem: </strong>In a pediatric outpatient sickle cell disease clinic in the southeastern United States, 16% (43/272) of patients aged 16-24 years had a documented sexual health history, and 12% (4/77) completed STI screenings. The clinic aimed to increase sexual health assessment, STI screenings, diagnosis, and treatment.</p><p><strong>Methods: </strong>Using process redesign, a standardized sexual health and STI screening process at routine visits was implemented to increase the completion of sexual health histories and STI screening.</p><p><strong>Results: </strong>Sexual health history collection rates increased from 16% (43/272) pre-intervention to 92% (107/116) pos-tintervention. The rate of STI testing offered increased from 12% (5/43) preintervention to 100% (116/116) postintervention. The STI testing rates increased 22.5% from 40% (2/5) pre-intervention to 49% (20/41) post-intervention.</p><p><strong>Conclusions: </strong>Evidence-based standardized interventions can successfully be used to assist in sexual health documentation and STI screening.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":"51-57"},"PeriodicalIF":2.5000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Increasing Screening for Sexually Transmitted Infections Among Adolescents and Young Adults Diagnosed With Sickle Cell Disease: A Quality Improvement Project.\",\"authors\":\"Myckayla Ashlee Perry\",\"doi\":\"10.1016/j.pedhc.2024.09.008\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Sexually transmitted infections (STIs) affect 20 million adolescents and young adults in the United States annually.</p><p><strong>Local problem: </strong>In a pediatric outpatient sickle cell disease clinic in the southeastern United States, 16% (43/272) of patients aged 16-24 years had a documented sexual health history, and 12% (4/77) completed STI screenings. The clinic aimed to increase sexual health assessment, STI screenings, diagnosis, and treatment.</p><p><strong>Methods: </strong>Using process redesign, a standardized sexual health and STI screening process at routine visits was implemented to increase the completion of sexual health histories and STI screening.</p><p><strong>Results: </strong>Sexual health history collection rates increased from 16% (43/272) pre-intervention to 92% (107/116) pos-tintervention. The rate of STI testing offered increased from 12% (5/43) preintervention to 100% (116/116) postintervention. The STI testing rates increased 22.5% from 40% (2/5) pre-intervention to 49% (20/41) post-intervention.</p><p><strong>Conclusions: </strong>Evidence-based standardized interventions can successfully be used to assist in sexual health documentation and STI screening.</p>\",\"PeriodicalId\":50094,\"journal\":{\"name\":\"Journal of Pediatric Health Care\",\"volume\":\" \",\"pages\":\"51-57\"},\"PeriodicalIF\":2.5000,\"publicationDate\":\"2025-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Pediatric Health Care\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.pedhc.2024.09.008\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/10/10 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q2\",\"JCRName\":\"HEALTH POLICY & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Pediatric Health Care","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.pedhc.2024.09.008","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/10/10 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"HEALTH POLICY & SERVICES","Score":null,"Total":0}
Increasing Screening for Sexually Transmitted Infections Among Adolescents and Young Adults Diagnosed With Sickle Cell Disease: A Quality Improvement Project.
Background: Sexually transmitted infections (STIs) affect 20 million adolescents and young adults in the United States annually.
Local problem: In a pediatric outpatient sickle cell disease clinic in the southeastern United States, 16% (43/272) of patients aged 16-24 years had a documented sexual health history, and 12% (4/77) completed STI screenings. The clinic aimed to increase sexual health assessment, STI screenings, diagnosis, and treatment.
Methods: Using process redesign, a standardized sexual health and STI screening process at routine visits was implemented to increase the completion of sexual health histories and STI screening.
Results: Sexual health history collection rates increased from 16% (43/272) pre-intervention to 92% (107/116) pos-tintervention. The rate of STI testing offered increased from 12% (5/43) preintervention to 100% (116/116) postintervention. The STI testing rates increased 22.5% from 40% (2/5) pre-intervention to 49% (20/41) post-intervention.
Conclusions: Evidence-based standardized interventions can successfully be used to assist in sexual health documentation and STI screening.
期刊介绍：
The Journal of Pediatric Health Care, the official journal of the National Association of Pediatric Nurse Practitioners, provides scholarly clinical information and research regarding primary, acute and specialty health care for children of newborn age through young adulthood within a family-centered context. The Journal disseminates multidisciplinary perspectives on evidence-based practice and emerging policy, advocacy and educational issues that are of importance to all healthcare professionals caring for children and their families.
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