在大型城市急诊室进行性传播感染联合检测
James S Ford1, Joseph C Morrison2, Jenny L Wagner3
1University of California San Francisco, Department of Emergency Medicine, San Francisco, California.
The western journal of emergency medicine
|May 27, 2024
概括
在急诊室 (ED) 的性传播感染 (STI) 联合检测很低,但HIV,HCV,梅毒,淋病和克拉米迪亚的联合感染率很高. 提高联合测试对于高风险患者至关重要.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 紧急医疗 紧急医疗
背景情况:
- 美国性传播感染 (STIs) 发病率上升 (2017-2021年).
- 有限的数据存在于STI共同测试和共同感染的流行率在急诊室 (EDs).
- 需要了解ED环境中的HIV,HCV,梅毒,淋病和克拉米迪亚等感染的查实践.
研究的目的:
- 为了确定在一个大型的学术ED中STI联合检测和联合感染的流行率.
- 分析HIV,C型肝炎病毒 (HCV),梅毒,淋病和克拉米迪亚的联合测试和联合感染率.
- 在被诊断患有特定性传播感染的患者中确定同时感染的模式.
主要方法:
- 在2018年11月至2019年5月期间对ED患者进行性传播感染测试的回顾性,横截面研究.
- 分析包括13岁及以上的接受性传播疾病检测的患者.
- 用描述性统计数据收集了测试频率,感染流行率和共感染率的数据.
主要成果:
- 在30767例ED病例中,26%涉及性传播疾病检测;HCV (5.0%) 和克拉米迪亚 (9.8%) 感染率最高.
- 观察到高的同时感染率:梅毒与克拉米迪亚 (21%) 和艾滋病毒 (9%);淋病与克拉米迪亚 (23%) 和梅毒 (9%);克拉米迪亚与梅毒 (16%) 和淋病 (14%).
- 患有HCV的患者具有较低的同时感染比例 (<2%).
结论:
- 性传播疾病同时测试的患病率很低,特别是在临床怀疑性传播疾病的患者中.
- 对于几个性传播感染组合,发现了显著的同时感染流行率.
- 加强战略是必要的,以增加在ED中高风险人群中STI联合测试率.
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