Patterns of Use and Barriers to STI Point-of-care Tests for Military Obstetrician Gynecologists.

IF 1.2 4区医学 Q2 MEDICINE, GENERAL & INTERNAL Military Medicine Pub Date : 2025-01-16 DOI:10.1093/milmed/usae283

Jill E Brown, Kayla M Hudson, Anne M Rompalo, Charlotte A Gaydos

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Abstract

Introduction: Sexually transmitted infections (STIs) are commonly reported in military populations. Point-of-care tests (POCTs) are commercially available, but their use is variable in the civilian sector. Their use among military providers has not been evaluated. We sought to identify the pattern of use and barriers to using STI POCTs for military obstetrician/gynecologists (OBGYNs).

Materials and methods: We adapted a survey of civilian OBGYNs on patterns of use and barriers to STI POCTs for military OBGYNs. We sent an online questionnaire to 479 military OBGYNs via Army, Air Force, and Navy specialty leaders in May 2023. The questionnaire included 14 demographic questions and up to 52 questions regarding availability, use, and barriers to STI POCTs. The USU Institutional Review Board deemed the study exempt from Institutional Review Board review.

Results: Of the 479 solicited, 117 participated in the survey (24.4%). Of respondents, 64.1% were women and 79.5% non-Hispanic white. Sexually transmitted infections were detected once to twice weekly by 13.0% of respondents and once or twice monthly by 52.8%. The most available STI-related POCTs were wet mount prep (68.7%), rapid HIV (43.3%), and urine dipstick (38.6%). Gram stain was available for 30.3%, the Affirm VPIII (Becton, Dickinson and Company, Franklin Lakes, NJ) for 24.5%, and stat RPR for 16.3%. Economic barriers to using POCTs included cost of the test from manufacturer/distributor (57.9%) and military funding/stocking decisions (10.3%). The greatest barriers to use were the purchasing of an instrument (60.8%) and the interruption to workflow in clinic (57.8%).

Conclusions: Military OBGYNs rely on several STI-related POCTs. Economic factors and interruption to workflow were cited as the most significant barriers to using POCTs for military OBGYNs. Test cost and impact on workflow should be considered in future development and procurement of POCTs for the Military Health System.

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军队妇产科医生使用性传播感染护理点检测的模式和障碍。

导言：性传播感染（STIs）在军队人群中很常见。护理点检测（POCT）可在市场上买到，但在民用领域的使用情况却不尽相同。目前尚未对其在军队提供者中的使用情况进行评估。我们试图确定军队妇产科医生（OBGYN）使用 STI POCT 的模式和障碍：我们改编了一项关于军队妇产科医生使用 STI POCT 的模式和障碍的民间妇产科医生调查。我们于 2023 年 5 月通过陆军、空军和海军专业负责人向 479 名军事妇产科医生发送了一份在线问卷。问卷包括 14 个人口统计学问题和多达 52 个有关 STI POCT 的可用性、使用情况和障碍的问题。美国南加州大学机构审查委员会认为该研究免于机构审查委员会审查：在征集到的 479 位受访者中，有 117 位（24.4%）参与了调查。在受访者中，64.1% 为女性，79.5% 为非西班牙裔白人。13.0%的受访者每周检测一到两次性传播感染，52.8%的受访者每月检测一到两次。最常见的性传播感染相关 POCT 是湿装片预处理（68.7%）、快速 HIV 检测（43.3%）和尿液浸量尺（38.6%）。有 30.3% 的人可使用革兰氏染色法，24.5% 的人可使用 Affirm VPIII（Becton, Dickinson and Company, Franklin Lakes, NJ），16.3% 的人可使用 stat RPR。使用 POCT 的经济障碍包括制造商/经销商提供的检测成本（57.9%）和军方的资金/库存决定（10.3%）。使用的最大障碍是购买仪器（60.8%）和中断临床工作流程（57.8%）：结论：军队妇产科医生依赖多种与性传播感染相关的 POCT。经济因素和工作流程中断被认为是军队妇产科医生使用 POCT 的最大障碍。在未来为军事卫生系统开发和采购 POCTs 时，应考虑测试成本和对工作流程的影响。

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来源期刊

Military Medicine MEDICINE, GENERAL & INTERNAL-

CiteScore

2.20

自引率

8.30%

发文量

393

审稿时长

4-8 weeks

期刊介绍： Military Medicine is the official international journal of AMSUS. Articles published in the journal are peer-reviewed scientific papers, case reports, and editorials. The journal also publishes letters to the editor. The objective of the journal is to promote awareness of federal medicine by providing a forum for responsible discussion of common ideas and problems relevant to federal healthcare. Its mission is: To increase healthcare education by providing scientific and other information to its readers; to facilitate communication; and to offer a prestige publication for members’ writings.