遵守CDC指南mopox评估:在2022年流行病期间在学术医疗系统的实践模式
William M Garneau1, Joyce L Jones2, Gabriella M Dashler3
1Department of Medicine/Division of Hospital Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Open forum infectious diseases
|September 26, 2024
概括
根据诊所的不同,Mopox的测试和护理有所不同. 与急诊室或初级保健相比,传染病 (ID) 诊所提供了更彻底的评估,包括性病史和性传播疾病测试. 标准化护理对于最佳的患者结果至关重要.
科学领域:
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
- 临床医学 临床医学
背景情况:
- 在2022年mopox疫情爆发时,患者在不同的临床环境中寻求护理.
- 假设不同医疗保健场所的临床实践模式的变化.
研究的目的:
- 调查不同医疗保健机构在mopox评估实践中的差异.
- 评估性病史,生殖器官检查和性传播感染 (STI) 检测的记录率.
- 确定护理场所与患者评估的完整性之间的关联.
主要方法:
- 一项观察性研究包括276名在2022年6月1日至12月15日期间测试mopox的患者.
- 数据按护理地点分层:急诊室 (ED),传染病 (ID) 诊所或初级保健 (PCP).
- 同时进行的性传播感染检测,性史和阴道检查被评估为一个复合结果.
主要成果:
- 超过一半 (62.7%) 的患者在ED中进行了评估.
- 与ED和PCP设置相比,ID诊所的性病史,阴茎检查和性传播感染测试的记录率更高.
- 莫波克斯患者的STI共感染率为20.4%,梅毒是最常见的 (17.5%).
- 在ID诊所的患者获得完整评估的几率明显更高 (aOR,3.6).
- 某些人口群体,包括与男性发生性关系的男性和跨性别者,更有可能接受完整的评估 (aOR,4.0).
结论:
- 怀疑mopox的临床护理在不同的医疗保健场所有很大差异.
- 传染病诊所为mpox患者提供了更全面的评估.
- 传染性疾病共感染率高,凸显了彻底的传染性疾病查的重要性.
- 在所有临床场所标准化评估协议对于确保在mopox爆发期间提供公平和最佳的患者护理至关重要.
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