Approach to Human Immunodeficiency Virus/Sexually Transmitted Infection Testing for Men at an Urban Urgent Care Center
| Autor: | Natalie Neu, Alwyn Cohall, Dina L. Romo, Sarah B. Schechter |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Microbiology (medical) medicine.medical_specialty Gonorrhea Sexually Transmitted Diseases MEDLINE HIV Infections Dermatology urologic and male genital diseases Ambulatory Care Facilities Asymptomatic Young Adult 03 medical and health sciences 0302 clinical medicine Urban Health Services medicine Humans Mass Screening 030212 general & internal medicine Young adult Intensive care medicine Retrospective Studies 030505 public health Chlamydia business.industry Public Health Environmental and Occupational Health Retrospective cohort study Odds ratio medicine.disease Infectious Diseases Family medicine Syphilis medicine.symptom 0305 other medical science business |
| Zdroj: | Sexually Transmitted Diseases. 44:255-259 |
| ISSN: | 1537-4521 0148-5717 |
| DOI: | 10.1097/olq.0000000000000571 |
| Popis: | BACKGROUND AND OBJECTIVES Sexually transmitted infection (STI) rates have increased among men. Urgent care centers are increasingly common sites for medical care. The objectives of this study are to describe practices surrounding STI testing at an urban urgent care center. METHODS Electronic medical record data were analyzed for men ages 20 to 55 years seen at the urgent care center of a large urban hospital from June 7, 2011, to April 30, 2015 (n = 10,983). A subset of charts was reviewed to assess sexual history documentation (n = 906). Chief complaints relevant to STIs were defined as genitourinary or sexual complaints. Odds ratios and χ analyses were used to assess association between STI testing, chief complaint, and sexual history. RESULTS Of the 10,983 visits, 10% (n = 1118) had a complaint relevant to STIs, and 5% (n = 505) had STI testing ordered. Of these tests, 4% were positive for syphilis (n = 11), 13% for chlamydia (n = 29), 6% for gonorrhea (n = 13), and 0.5% for human immunodeficiency virus (n = 1). Sexually transmitted infection testing was more likely to be ordered for STI-relevant chief complaints than unrelated complaints (odds ratio, 16.2, P < 0.01). Sexual history was documented for 8% of visits (n = 72) and was associated with STI testing (P |
| Databáze: | OpenAIRE |
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