Value of Packaged Testing for Sexually Transmitted Infections for Persons who Inject Drugs Hospitalized With Serious Injection-Related Infections

Autor:	Evan S. Schwarz, Laura R. Marks, Michael J. Durkin, Nathanial S Nolan, Hilary Reno, David B. Liss, Stephen Y. Liang, Linda Jiang
Rok vydání:	2021
Předmět:	medicine.medical_specialty Chlamydia business.industry Human immunodeficiency virus (HIV) viral hepatitis opioid use disorder Hepatitis C medicine.disease medicine.disease_cause Gonococcal infection Major Articles Infectious Diseases AcademicSubjects/MED00290 Oncology Emergency medicine medicine substance abuse Syphilis business sexually transmitted infections
Zdroj:	Open Forum Infectious Diseases
ISSN:	2328-8957
Popis:	Background Persons who inject drugs (PWID) are frequently admitted for serious injection-related infections (SIRIs). PWID are also at risk for sexually transmitted infections (STIs). Methods We conducted a multicenter quality improvement project at 3 hospitals in Missouri. PWID with SIRI who received an infectious diseases consultation were prospectively identified and placed into an electronic database as part of a Centers for Disease Control and Prevention–funded quality improvement project. Baseline data were collected from 8/1/2019 to 1/30/2020. During the intervention period (2/1/2020–2/28/2021), infectious diseases physicians caring for patients received 2 interventions: (1) email reminders of best practice screening for HIV, viral hepatitis, and STIs; (2) access to a customized EPIC SmartPhrase that included checkboxes of orders to include in assessment and plan of consultation notes. STI screening rates were compared before and after the intervention. We then calculated odds ratios to evaluate for risk factors for STIs in the cohort. Results Three hundred ninety-four unique patients were included in the cohort. Initial screening rates were highest for hepatitis C (88%), followed by HIV (86%). The bundled intervention improved screening rates for all conditions and substantially improved screening rates for gonorrhea, chlamydia, and syphilis (30% vs 51%, 30% vs 51%, and 39 vs 60%, respectively; P Conclusions PWID admitted for SIRI frequently have unrecognized STIs. Our bundled intervention improved STI screening rates, but additional interventions are needed to optimize screening.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::ca97724583d1ec86192660a01232b164 https://pubmed.ncbi.nlm.nih.gov/34926711 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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