用于预防细菌性传播感染 (STIs) 的多西环林暴露后预防:临床提供者是否支持?
Esma Imerlishvili1,2, John Lake1, Sara Todorovic1
1New York State Department of Health AIDS Institute, Albany, NY, USA.
International journal of STD & AIDS
|December 24, 2024
概括
医疗保健提供者表现出很高的意愿,建议多西环林暴露后预防 (Doxy-PEP) 预防细菌性传播感染 (STIs). 存在对抗生素耐药性的担忧,但实施支持很强.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 临床医学 临床医学
背景情况:
- 在美国,细菌性传播感染 (STIs) 正在增加.
- 多西环素暴露后预防 (Doxy-PEP) 有效预防性传播感染,但提供者对其实施的态度尚不清楚.
研究的目的:
- 评估临床提供者对Doxy-PEP用于性病预防的态度和意愿.
- 确定影响Doxy-PEP推的因素及其使用的感知障碍.
主要方法:
- 在2022年9月,纽约州的575名临床提供者接受了在线问卷调查.
- 91个符合条件的提供者回应,其中大多数为与男性发生性关系的男性 (MSM) 提供服务.
主要成果:
- 很愿意推Doxy-PEP治疗克拉米迪亚 (98%),梅毒 (77%) 和淋病 (67%).
- 提供者优先考虑复发性传播感染和不使用避孕套的性行为作为Doxy-PEP建议.
- 主要担忧包括抗生素耐药性 (90%),特别是对于淋病菌,以及保险费用 (35%) 作为社区障碍.
结论:
- 研究结果表明,提供者对Doxy-PEP实施有很大的意愿和支持.
- 在国家准则之前收集的数据可以作为未来实施策略和提供商信息的基准.
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