一般实践中的淋病护理级联:一项描述性研究,以利用电子医疗记录探索淋病管理
J Jung1, J L Goller2, P Chondros3
1Department of General Practice and Primary Care, Melbourne Medical School, University of Melbourne, Carlton, Vic, Australia; and Centre for Digital Transformation of Health, University of Melbourne, Carlton, Vic, Australia; and Melbourne Sexual Health Centre, Alfred Health, Melbourne, Vic, Australia.
澳大利亚一般医院的淋病检测和治疗表明,在遵守指南方面存在差距. 许多病例缺乏推的双重抗生素处方和及时重新检测,表明需要改善性传播感染管理的整合.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 一般实践一般实践
背景情况:
- 澳大利亚的淋病报告率在2014年至2019年期间显著增加了100%以上.
- 在澳大利亚的一般实践中了解淋病检测和管理实践对于公共卫生干预至关重要.
研究的目的:
- 探索澳大利亚一般医院的淋病检测模式和淋病感染的管理.
- 用"护理级联"模型调查与淋病检测,治疗和再检测相关的因素.
主要方法:
- 分析了来自澳大利亚73家全科医院 (2018年1月~2020年12月) 的非身份化电子病历数据.
- 使用"护理级联"模型来检查淋病的检测和管理.
- 使用描述性分析和后勤回归来识别影响测试,治疗和重新测试的因素.
主要成果:
- 5.6%的临床发作涉及淋病测试,阳性率为1.1%.
- 只有48.4%的阳性淋病病例接受了指导方针推的双抗生素处方 (塞夫特里亚克松和阿兹胺素).
- 在接受治疗的病例中,32.0%在推的时间框架内 (6周至6个月治疗后) 进行了再检测.
结论:
- 抗生素处方和再检测时间表的低遵守程度突显了将澳大利亚性传播感染 (STI) 准则纳入初级保健的机会.
- 需要对护理途径进行进一步的调查,以确定护理是否未被记录,在其他地方提供或根本没有提供.
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