緊急 部 に 出席 し て いる 青少年 の 男性 の 性感染症 の 検査
Alicia Rolin1, Gia Badolato1, Meleah Boyle1
1Division of Emergency Medicine, Children's National Hospital, Washington, District of Columbia.
Pediatrics
|September 3, 2025
まとめ
青年期の男性では,クリミディア・トラコマティス (CT) とニッセリア・ゴノレア (GC) の検査率が低かった. 非ヒスパニックの黒人男性では非ヒスパニックの白人男性と比較して検査またはスクリーニングを受ける可能性が高くなりました.
科学分野:
- 公衆衛生
- 小児の緊急医療
- 感染症 検診
背景:
- クラミジア・トラコマティス (CT) とネイスリア・ゴノレア (GC) のスクリーニングにおける人種差異は,思春期の女性では知られているが,男性では十分に研究されていない.
- 緊急治療室 (ED) の青少年男性におけるCT/GC検査における人種的および民族的差異に関するデータは限られている.
研究 の 目的:
- 小児EDを診察する青年の男性におけるCT/GC検査とスクリーニングにおける人種的および民族的差異を比較する.
- この集団における人種と民族に基づく 性感染症のスクリーニング率の潜在的な違いを調査する.
主な方法:
- 2021年1月から2023年2月までの間に,13歳から21歳の男性のED訪問の横断的な分析が行われました.
- この研究では,多変数ロジスティック回帰を用いて,年齢とEDの部位を調整したCT/GC検査とスクリーニング率を調査した.
主要な成果:
- 全体として,ED診察の3.7%だけがCT/GC検査またはスクリーニングを含んでいた.
- 症状のある男性の検査率は39.5%で,非ヒスパニックの黒人男性の検査率は非ヒスパニックの白人男性 (11.8%) よりも著しく高かった.
- 非STIの男性では,スクリーニング率は2.7%であり,非ヒスパニックの黒人男性では非ヒスパニックの白人男性よりも高いスクリーニング率 (3.5%) であった.
結論:
- CT/GC検査とスクリーニングの割合は,小児EDを呈する青年の男性では低い.
- 非ヒスパニックの黒人若者は非ヒスパニックの白人男性と比較してCT/GC検査とスクリーニングを受ける可能性が高い.
- これらの人種差の理由を理解し,公平なSTIスクリーニングを確保するための戦略を開発するには,さらなる研究が必要です.
関連する概念動画
01:20Disorders of the Male Reproductive System
570
Men's health issues are increasingly recognized as significant, with several conditions posing common threats. Among these, testicular cancer is especially prevalent in younger men, particularly those aged 20 to 35 years. The disease often manifests as a painless mass in the testicles, sometimes accompanied by a sensation of heaviness or a dull ache.
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
570
01:30Acute Coronary Syndrome III: Diagnostic Studies
23
Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
23
01:26Exercise Stress Test
489
Introduction
Exercise stress testing, commonly known as a treadmill test, is a noninvasive procedure used to evaluate cardiovascular function and diagnose heart conditions.
Definition
An exercise stress test measures the heart's response to exertion using a treadmill or stationary bicycle. Chest electrodes record the heart's electrical activity through an ECG, and blood pressure is monitored regularly.
Purposes
Exercise stress testing, commonly known as a treadmill test, is a noninvasive procedure used to evaluate cardiovascular function and diagnose heart conditions.
Definition
An exercise stress test measures the heart's response to exertion using a treadmill or stationary bicycle. Chest electrodes record the heart's electrical activity through an ECG, and blood pressure is monitored regularly.
Purposes
489
01:26Urine Studies II: Urine Culture and Sensitivity Test
112
A urine culture and sensitivity test is a diagnostic procedure used to identify urinary tract bacterial infections and determine the most effective antibiotics for treatment. This test is generally preferred when a patient shows manifestations of a urinary tract infection, such as frequent or painful urination, cloudy or foul-smelling urine, or lower abdominal pain.Purpose of the TestThe primary goals of a urine culture and sensitivity test are to:Determine the specific bacteria causing the...
112
01:30Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care
35
A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
35
01:28Acute Pyelonephritis II: Diagnostic Studies and Management
39
Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
39