Increasing Screening for Sexually Transmitted Infections Among Adolescents and Young Adults Diagnosed With Sickle Cell Disease: A Quality Improvement Project.

IF 2.5 4区医学 Q2 HEALTH POLICY & SERVICES Journal of Pediatric Health Care Pub Date : 2024-10-10 DOI:10.1016/j.pedhc.2024.09.008

Myckayla Ashlee Perry

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引用次数: 0

Abstract

Background: Sexually transmitted infections (STIs) affect 20 million adolescents and young adults in the United States annually.

Local problem: In a pediatric outpatient sickle cell disease clinic in the southeastern United States, 16% (43/272) of patients aged 16-24 years had a documented sexual health history, and 12% (4/77) completed STI screenings. The clinic aimed to increase sexual health assessment, STI screenings, diagnosis, and treatment.

Methods: Using process redesign, a standardized sexual health and STI screening process at routine visits was implemented to increase the completion of sexual health histories and STI screening.

Results: Sexual health history collection rates increased from 16% (43/272) pre-intervention to 92% (107/116) pos-tintervention. The rate of STI testing offered increased from 12% (5/43) preintervention to 100% (116/116) postintervention. The STI testing rates increased 22.5% from 40% (2/5) pre-intervention to 49% (20/41) post-intervention.

Conclusions: Evidence-based standardized interventions can successfully be used to assist in sexual health documentation and STI screening.

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在确诊患有镰状细胞病的青少年中加强性传播感染筛查：质量改进项目。

背景：性传播感染（STI）每年影响着美国 2,000 万青少年和年轻人：当地问题：在美国东南部的一家镰状细胞病儿科门诊中，16%（43/272）的 16-24 岁患者有性健康史记录，12%（4/77）的患者完成了性传播感染筛查。该诊所旨在增加性健康评估、性传播感染筛查、诊断和治疗：方法：通过流程再设计，在常规就诊中实施标准化的性健康和性传播感染筛查流程，以提高性健康史和性传播感染筛查的完成率：结果：性健康史收集率从干预前的 16%（43/272）提高到干预后的 92%（107/116）。性传播感染检测率从干预前的 12%（5/43）上升到干预后的 100%（116/116）。性传播感染检测率从干预前的 40%（2/5）上升到干预后的 49%（20/41），上升了 22.5%：以证据为基础的标准化干预措施可成功用于协助性健康记录和性传播感染筛查。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Pediatric Health Care NURSING-PEDIATRICS

CiteScore

3.40

自引率

10.70%

发文量

140

审稿时长

24 days

期刊介绍： The Journal of Pediatric Health Care, the official journal of the National Association of Pediatric Nurse Practitioners, provides scholarly clinical information and research regarding primary, acute and specialty health care for children of newborn age through young adulthood within a family-centered context. The Journal disseminates multidisciplinary perspectives on evidence-based practice and emerging policy, advocacy and educational issues that are of importance to all healthcare professionals caring for children and their families.