使用电子健康记录在儿科急诊室实施加速伴侣治疗
Angela M Brown1, Stephanie S Kennebeck, Melissa J Kerlin1
1From the Division of Emergency Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
Pediatric emergency care
|July 25, 2024
概括
加快伴侣治疗 (EPT) 增加了儿童ED的性传播感染治疗,允许对伴侣的处方没有评估. 这一通过电子健康记录促进的战略显示出改善公共卫生结果的前景.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 儿科 儿科 儿科
背景情况:
- 加快性伴侣治疗 (EPT) 是一种治疗性传播感染 (STIs) 的策略,允许在没有事先医疗评估的情况下为伴侣开处方.
- 美国疾病控制中心 (CDC) 建议EPT改善伴侣治疗率,特别是淋病和克拉米迪亚.
- 2016年,俄俄州的立法授权了EPT,使其能够在医疗机构中实施.
研究的目的:
- 描述EPT在儿科急诊室的实施过程.
- 报告EPT采用和使用的描述性结果.
- 评估电子健康记录在促进EPT方面的作用.
主要方法:
- 从2017年1月1日至2021年12月31日的EPT使用情况的回顾性审查.
- 对人口统计数据和干预采用的电子健康记录的分析.
- 使用费舍尔精确测试对分类变量进行统计分析,并使用双样本t测试对连续变量进行统计分析.
主要成果:
- 总共有3275个阳性STI测试导致739个EPT处方.
- 接受EPT的青少年患者更有可能是女性 (78.7%) 和老年人 (平均年龄17.7岁).
- 与EPT处方相关的阳性STI测试的百分比从11.4%到18.2%不等,甲尼达是最常被处方的药物.
结论:
- 电子健康记录为实施EPT提供了一个可行的平台.
- 在急诊室处方EPT是一种增加性传播感染治疗的潜在策略.
- 这种方法可以帮助改善性传播感染的管理,并降低儿科患者的传播率.
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