门诊性传播感染检测和治疗模式在美国:一个真实世界的数据库研究研究
Rebecca Lillis1, Louis Kuritzky2,3, Zune Huynh4
1Section of Infectious Diseases, Department of Medicine, Louisiana State University Health Sciences Center, New Orleans, LA, 70119, USA. RLilli@lsuhsc.edu.
BMC infectious diseases
|July 13, 2023
概括
冠状病毒 (CT) 和尼塞利亚淋病 (NG) 的检测率很低,即使有并发症. 假定抗生素治疗对于下生殖尿路症状 (LGUTS) 是常见的,这表明需要更好的性传播感染诊断测试.
科学领域:
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
- 临床诊断 临床诊断 临床诊断
背景情况:
- 甲状腺炎 (CT) 和淋病 (NG) 是性传播感染 (STIs) 的主要原因.
- 与其他泌尿器官感染重叠的症状需要精确的性传播感染诊断测试.
- 这项研究检查了STI测试和治疗下生殖尿路症状 (LGUTS).
研究的目的:
- 描述STI诊断测试中的模式和趋势.
- 分析LGUTS患者的抗菌治疗模式.
- 识别治疗常见性传播感染的差距.
主要方法:
- 对保险索赔数据 (2010-2019年) 的分析.
- 包括14至64岁的患有LGUTS的患者.
- 描述STI测试和药物索赔分发的描述.
主要成果:
- 17.6%的LGUTS发作涉及CT/NG测试. 在LGUTS发作中,17.6%的LGUTS发作涉及CT/NG测试.
- 在接受治疗的患者中,89.3%的患者在3天内接受了抗生素 (推定治疗).
- 只有不到15%的并发症患者接受了CT/NG测试.
结论:
- 观察到低CT/NG测试率,即使有与STI相关的并发症.
- 假定抗生素治疗的高率表明诊断不确定性.
- 及时和准确的性传播感染诊断对于适当治疗LGUTS至关重要.
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