Adult and pediatric emergency department sexually transmitted disease and HIV screening: programmatic overview and outcomes.

Adult and pediatric emergency department sexually transmitted disease and HIV screening: programmatic overview and outcomes. Research Abstract Details 

Research Abstract Table of Contents

Jump to the:

Adult and pediatric emergency department sexually transmitted disease and HIV screening: programmatic overview and outcomes. Abstract Text:

Supriya D Mehta,Jonathan Hall,Sheryl B Lyss,Paul R Skolnik,Lisa N Pealer,Sigmund Kharasch,

OBJECTIVES: To measure the prevalence of gonorrhea, chlamydia, and human immunodeficiency virus (HIV) infection among emergency department (ED) patients who accept screening, and to assess treatment outcomes and risks for infection. METHODS: Research staff offered voluntary testing for gonorrhea and chlamydia (by urine transcription-mediated amplification) and HIV (by enzyme immunoassay/Western blot of oral mucosal transudate) to ED patients. Pediatric (15-21 years) and adult (22-29 years) patients were eligible for gonorrhea and chlamydia testing; patients aged 15-54 years were eligible for HIV testing. The authors surveyed behavioral risks of patients accepting HIV testing. RESULTS: From November 2003 to May 2004, 497 of 791 eligible pediatric patients (63%) and 1,000 of 2,180 eligible adult patients (46%) accepted screening for gonorrhea, chlamydia, and/or HIV. There were 41 patients infected with gonorrhea, chlamydia, or both among 380 pediatric patients (10.8%) and 11 of 233 adult patients (4.7%); 14 of 52 patients (27%) were treated presumptively by ED clinicians. Through study efforts, 33 of the 38 remaining patients were treated (90% overall treatment). Eight HIV infections were diagnosed: seven of 969 adult patients (0.7%) and one of 459 pediatric patients (0.2%); five HIV-infected patients (63%) received test results, and three (38%) attended an HIV clinic. Gonorrhea or chlamydia infection in pediatric patients was associated with multiple sex partners, same-sex intercourse, and suspicion of sexually transmitted diseases by the ED clinician. CONCLUSIONS: The high prevalence of gonorrhea and/or chlamydia infection among pediatric ED patients tested supports consideration of expanded screening. Targeted HIV screening with rapid tests merits exploration in the authors' ED, given the low-moderate numbers of patients identified through screening, receiving test results, and linked to care.

Adult and pediatric emergency department sexually transmitted disease and HIV screening: programmatic overview and outcomes. Publishing Authors By Initials

SD Mehta,J Hall,SB Lyss,PR Skolnik,LN Pealer,S Kharasch,

For similar behavior and behavior mechanisms: behavior: risk-taking research abstracts see: behavior and behavior mechanisms: behavior: risk-taking research

PUBMED ID PMID:

MEDLINE DATE:

Adult and pediatric emergency department sexually transmitted disease and HIV screening: programmatic overview and outcomes. Journal Published:

PUBLICATION TYPE: Research Support, U.S. Gov't,

Journal: Academic emergency medicine : official journal of

VOLUME: 14

Page Numbers: 250-8

Journal Abbreviation:

ISSN: 1553-2712

DAY: 3

MONTH: Mar

YEAR: 2007

Adult and pediatric emergency department sexually transmitted disease and HIV screening: programmatic overview and outcomes. Information

Number of References:

LANGUAGE: eng

NlmUniqueID: 9418450

Adult and pediatric emergency department sexually transmitted disease and HIV screening: programmatic overview and outcomes. Keywords Mesh Terms:

KEYWORDS: Risk-Taking

MESH TERMS: statistics & numerical data

Chemical & Substance for Abstract: Adult and pediatric emergency department sexually transmitted disease and HIV screening: programmatic overview and outcomes. Information

Substance Name: Anti-Bacterial Agents

Registry Number: 0

Grant and Affiliation Information for Adult and pediatric emergency department sexually transmitted disease and HIV screening: programmatic overview and outcomes.

AFFILIATION: Department of Epidemiology and Biostatistics, University of Chicago, Chicago, IL, USA. supriyad@uic.edu

Country: United States

AGENCY: United States NCRR

GRANT: RR18/CCR120999

ACRONYM: RR

MEDLINETA: Acad Emerg Med

REFSOURCE:

DATABASENAME:

ACCESSION NUMBER:

Number Hits: 0

Adult and pediatric emergency department sexually transmitted disease and HIV screening: programmatic overview and outcomes Related Publications

• A membrane-specific tyrosinase chelate: the mitotic regulator?
• Adult and pediatric emergency department sexually transmitted disease and HIV screening: programmatic overview and outcomes.
• Adverse drug reactions with halogenated anesthetics.
• Enantiomeric metabolic interactions and stereoselective human methadone metabolism.
• Molecular Characterization of CYP2B6 Substrates.
• Mutations in a molecule: the virtues of antagonism.
• Screening emergency department patients for under-immunized adolescents.
• Stereoselective analysis of bupropion and hydroxybupropion in human plasma and urine by LC/MS/MS.
• Stereoselective metabolism of bupropion by cytochrome P4502B6 (CYP2B6) and human liver microsomes.