在患有和没有严重精神疾病的妇女中,克拉米迪亚和淋病测试模式
Samantha L Karlow1,2, Samantha R Levano3, Silke A von Esenwein4
1Emory University School of Medicine, Atlanta, GA, USA. samantha.karlow@uhkc.org.
Community mental health journal
|June 29, 2023
概括
患有严重精神疾病 (SMI) 的女性面临性传播感染 (STIs) 的风险更高. 在SMI和普通人群中,STI的发病率相似,但SMI患者在紧急情况下获得护理,后续监测很差.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 心理健康服务 心理健康服务
背景情况:
- 在女性中,冠状腺炎 (CT) 和尼塞里亚淋病 (GC) 感染率正在上升.
- 患有严重精神疾病 (SMI) 的女性有更高的性传播感染 (STIs) 风险.
- 需要了解在安全网医疗保健系统中的SMI人群中STI护理模式.
研究的目的:
- 为了比较重症精神疾病 (SMI) 和没有严重精神疾病 (SMI) 的女性之间的克拉米迪亚 (CT) 和尼塞里亚淋病 (GC) 阳性率.
- 分析SMI患者在哪里获得STI护理.
- 确定在SMI群体中对STI查和护理的潜在改进.
主要方法:
- 在美国东南部的安全网医疗保健系统中进行的回顾性图表审查.
- 从2014年到2017年收集的数据.
- 一般和SMI患者群体之间的性传播感染率和护理设置的比较.
主要成果:
- 在SMI和一般人群中,CT/GC阳性率相似 (CT:6.6%与6.5%;GC:1.8%与2.2%).
- 与一般人群相比,紧急医疗部门在SMI患者中占有较高比例的阳性STI测试 (CT:25.2%对19.1%;GC:47.8%对35.5%).
- SMI患者在急诊机构中接受了大量的性病治疗,急诊机构的后续治疗往往很差.
结论:
- 虽然整体的STI阳性率没有差异,但SMI患者通过急诊室不成比例地获得STI护理.
- 在SMI患者的STI护理中依赖紧急设置突显了在一致的随访和治疗中的差距.
- 建议精神卫生保健提供者进行治疗点 (POC) 测试和整合性健康讨论,以改善SMI群体的性病管理.
相关概念视频
01:26Sexually Transmitted Infections
362
Sexually transmitted infections (STIs) are diseases transmitted primarily through unsafe sexual interactions. Bacteria, viruses, or parasites cause them and can result in severe health complications if untreated.ChlamydiaThe bacterium Chlamydia trachomatis is responsible for the disease Chlamydia, the most common STI in the United States. This peculiar pathogen requires human cells to reproduce, residing intracellularly. The initial infection often goes unnoticed because it typically does not...
362
01:24Disorders of the Female Reproductive System
419
The female reproductive system can be affected by several disorders, including Premenstrual Syndrome (PMS), Premenstrual Dysphoric Disorder (PMDD), endometriosis, and various forms of cancer. PMS and PMDD are cyclical conditions that cause physical and emotional distress, with symptoms that include edema, mood swings, and food cravings. PMDD is a more severe form of PMS characterized by increased symptom severity that peaks during the luteal phase and tends to improve or resolve shortly after...
419
01:29Bacterial Phylum Chlamydiae
39
The phylum Chlamydiae or Chlamydiota is composed of a single order, Chlamydiales. This phylum consists entirely of obligate intracellular parasites that infect eukaryotic hosts. While human pathogens within this group have been studied extensively, the phylum encompasses many species capable of interacting with various eukaryotic organisms. Members of Chlamydiae are typically small cocci, approximately 0.5 μm in diameter, and exhibit a distinctive developmental cycle. As is characteristic...
39
01:26Urine Studies II: Urine Culture and Sensitivity Test
58
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...
58
01:27Diagnostic and Statistical Manual of Mental Disorders (DSM)
99
The Diagnostic and Statistical Manual of Mental Disorders (DSM) serves as the primary classification system for mental health disorders, providing standardized diagnostic criteria for clinicians and researchers. First published by the American Psychiatric Association (APA) in 1952, the DSM has undergone several revisions to reflect evolving psychiatric understanding. The fifth edition, DSM-5, released in 2013, introduced key updates that expanded diagnostic categories and modified diagnostic...
99
01:24Treatment Strategies for Psychological Disorders
176
Treatment approaches for psychological disorders fall into three main categories: psychological, biological, and sociocultural. Each approach targets different aspects of mental health, requiring varying levels of education and training.
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
176