在英国急诊室的普遍选择退出梅毒查
David Chadwick1, Hannah Williams1, Catriona Lane2
1Centre for Clinical Infection, The James Cook University Hospital, Middlesbrough, UK.
The Journal of infection
|February 16, 2025
概括
在急诊室 (ED) 的梅毒查发现了1.2%的感染患者,包括那些通常不接触性健康服务 (SHS) 的患者. 常规的ED查在高发病率地区可能是有效的.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 流行病学 流行病学
背景情况:
- 在英格兰,梅毒发病率正在上升.
- 国家血液传播病毒 (BBV) 查存在于急诊室 (ED),但不包括梅毒.
- 一个地区的高梅毒患病率需要新的查方法.
研究的目的:
- 评估在ED环境中普遍选择退出梅毒查的有效性.
- 确定ED查是否可以识别无法获得传统性健康服务 (SHS) 的个人.
主要方法:
- 在英格兰东北部的一个ED中,集成的普遍选择退出梅毒查与BBV查.
- 邀请有反应性梅毒测试的个人参加SHS进行进一步评估.
主要成果:
- 在3312名ED参与者中,38名 (1.2%) 呈梅毒阳性.
- 阳性病例更年轻,来自更贫困地区.
- 71%的人参加了SHS,59%的人接受了治疗.
结论:
- 全球ED梅毒查有效地识别了那些通常不会访问SHS的个人.
- 这种查方法与典型的SHS与会者相比,可以识别出不同的人口特征.
- 在高传播率的地区,建议与BBV一起进行梅毒的常规ED查.
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