JUCM : the journal of urgent care medicine最新文献

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Herpes Simplex Virus Infections: An Overview of Testing for the Urgent Care Clinician. 单纯疱疹病毒感染：紧急护理临床医生的测试概述。

JUCM : the journal of urgent care medicine

Pub Date : 2025-06-15 Epub Date: 2025-06-01

Brittney Tice, Joseph Something, Benjamin Zimmerman

In the urgent care (UC) setting, patients commonly present with nominal requests for herpes simplex virus (HSV) testing. HSV infections are common, pleomorphic, and associated with significant stigma. This combination creates a situation where decisions regarding which, if any, test(s) to obtain can be highly impactful for the mental health of patients and their romantic partners. It is imperative that UC clinicians understand the utility and test characteristics of HSV testing and the implications of findings before ordering testing. Given that both HSV-1 and HSV-2 are chronic infections, serologic testing results have the potential for lifelong consequences and should only be obtained in settings where clinically indicated and with appropriate patient counseling.

在紧急护理（UC）设置中，患者通常提出单纯疱疹病毒（HSV）检测的名义要求。HSV感染是常见的，多形性的，并与显著的病耻感相关。这种结合创造了一种情况，即决定进行哪种测试（如果有的话）对患者及其伴侣的心理健康有很大的影响。UC临床医生在订购测试之前必须了解HSV测试的效用和测试特征以及结果的含义。考虑到1型单纯疱疹病毒和2型单纯疱疹病毒都是慢性感染，血清学检测结果有可能导致终生的后果，只有在临床指征和适当的患者咨询的情况下才能获得。

引用次数: 0

Pediatric Knowledge Needs Assessment: A Pilot Study. 儿科知识需求评估：试点研究。

JUCM : the journal of urgent care medicine

Pub Date : 2023-12-01 Epub Date: 2023-12-15

Bashar S Shihabuddin, Jessica Fritter, Charmaine B Lo, Rachel Stanley, Michael Weinstock

Objectives: We conducted a pilot knowledge needs assessment survey of providers at a general academic emergency department (ED) within the catchment area of an academic, tertiary care children's hospital.

Methods: We developed a 22-question electronic survey that was validated by combined emergency medicine and pediatric emergency medicine faculty members at the regional children's hospital. Three reminders were sent to the respondent pool at 2, 4, and 8 weeks after the initial survey. Reponses were analyzed using descriptive statistics.

Results: A total of 18 surveys were completed. Most respondents were trainees with less than 5 years' experience working in emergency medicine. The most frequently used methods to access information reported by all respondents were websites with a medical or health focus, spending on average 1-5 hours weekly gathering that information. Faculty were more likely to use a laptop or desktop computer to access that information, while trainees were more likely to use a smartphone. All respondents reported that accessible evidence-based clinical practice guidelines and information regarding novel diagnostics and therapeutics in pediatrics were the most relevant items to enhance their clinical practice. Information on pediatric trauma, sepsis, and neurological emergencies were rated as the highest priorities for clinical care in their practice.

Conclusion: Our findings can guide future knowledge needs assessments to develop dissemination and implementation efforts of evidence-based guidelines in the acute care of children in general EDs.

目的：我们进行了一项试点知识需求评估调查在一个学术，三级护理儿童医院的集水区内的综合学术急诊科（ED）的提供者。方法：我们开发了一个22个问题的电子调查，由地区儿童医院的急诊医学和儿科急诊医学联合教员验证。在初次调查后的第2周、第4周和第8周，向应答者发送了三次提醒。使用描述性统计对反馈进行分析。结果：共完成18项调查。大多数受访者是在急诊医学工作经验不足5年的实习生。所有受访者报告的获取信息的最常用方法是以医疗或健康为重点的网站，每周平均花费1-5个小时收集这些信息。教师更有可能使用笔记本电脑或台式电脑来获取这些信息，而学员更有可能使用智能手机。所有受访者都报告说，可获得的循证临床实践指南和有关儿科新诊断和治疗方法的信息是加强其临床实践最相关的项目。在他们的实践中，儿科创伤、败血症和神经紧急情况的信息被评为临床护理的最高优先级。结论：我们的研究结果可以指导未来的知识需求评估，以制定循证指南在普通急诊科儿童急性护理中的传播和实施工作。

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