Acceptability of urine screening for Neisseria gonorrheae and Chlamydia trachomatis in adolescents at an urban emergency department

被引:36
作者
Monroe, KW
Weiss, HL
Jones, M
Hook, EW
机构
[1] Univ Alabama, Dept Pediat, Div Pediat Emergency Med, Midtown Ctr, Birmingham, AL 35233 USA
[2] Univ Alabama, Dept Med, Div Infect Dis, Birmingham, AL 35233 USA
[3] Baylor Coll Med, Houston, TX 77030 USA
关键词
D O I
10.1097/01.OLQ.0000086600.71690.14
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Objective: The objective of this study was to determine the acceptability of urine screening for Neisseria gonorrhoeae and Chlamydia trachomatis in adolescents in a pediatric emergency department. Study Design: We used a prospective enrollment of adolescents aged 14-20 visiting an urban pediatric emergency department. Main Outcome Measures: The main outcome measure was acceptance of urine STD, screening rates. Results: Of 1231 potential participants, 879 (71%) agreed to participate and 352 (29%) declined screening. Participants were similar to those refusing to participate in terms of gender. In multivariate analysis, age, racelethnicity, and insurance status were associated with variation in sexually transmitted disease (STD) test acceptance, whereas the presence of a parent was not. Despite similar training, 1 of 3 recruiters had significantly lower acceptance rates than her peers. Overall, 10% of patients enrolled were found to have one or both infections. Conclusion: Urine screening for STDs can be efficiently conducted in an emergency department setting. This screening appears to be acceptable to most patients.
引用
收藏
页码:850 / 853
页数:4
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