Journal article
A retrospective review of the rate of sexually transmitted infections in adolescents after universal screening protocol implementation in an urban United States clinic
Preventive medicine reports, v 40, 102672
Apr 2024
PMID: 38464418
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
•Physician risk stratification for STI testing misses positive cases.•Universal screening increases capture rates of chlamydia and gonorrhea.•Implementing universal STI screening requires minimal logistics.•Opt-out rates of universal STI screening was low for adolescents.
Despite expanded guidelines, adolescent gonorrhea and chlamydia (GC/CT) screening rates remain low due to multiple psychosocial barriers and biases. This intervention aimed to improve screening and diagnosis rates at adolescent well visits by establishing a streamlined universal screening protocol for all patients ages 13–18 years old.
A universal sexually transmitted infection (STI) screening approach was introduced at an urban clinic affiliated with an academic medical center near Philadelphia, Pennsylvania (PA) in September 2018 for all adolescent well-visits. GC/CT screening and diagnosis rates were compared two years prior to and two years after implementation, deemed the baseline and intervention groups, respectively.
In total, 1,168 encounters were included for analysis. The patient cohort consisted of 47% females, with an average age of 15, and were predominantly publicly insured (79%). STI screening rates increased significantly from 16.7% (89/534) to 83.6% (530/634) of adolescents with implementation of the universal screening protocol. Furthermore, there was a 1.6-fold increase in total positive cases detected after implementation of ok universal screening.
This study demonstrates improved adolescent GC/CT capture rates by establishing a universal screening protocol and highlights a streamlined means of implementation in virtually any pediatric clinic. Limitations include sample size, as this is a single academic practice, as well as any issues with lab collection and results reporting.
Metrics
Details
- Title
- A retrospective review of the rate of sexually transmitted infections in adolescents after universal screening protocol implementation in an urban United States clinic
- Creators
- Anthony Tirone - Drexel UniversityLaura Maule - Drexel UniversityJessie Huang - Drexel UniversityJenna Higgins - Department of Pediatrics, Drexel University College of Medicine and Crozer Health, 30 Medical Center Boulevard POB1 Suite 205, Upland, PA 19013, USATanner Walsh - Department of Pediatrics, Drexel University College of Medicine and Crozer Health, 30 Medical Center Boulevard POB1 Suite 205, Upland, PA 19013, USADomenic Filingeri - Children's Hospital of PittsburghAlyssa Songveera - Stanford UniversityChristina Poh - Meritus Medical Center, 11110 Medical Campus Rd, Hagerstown, MD 21742, USAAshley N. Henderson - Crozer-Keystone Health System
- Publication Details
- Preventive medicine reports, v 40, 102672
- Publisher
- Elsevier
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Pediatrics; Surgery
- Web of Science ID
- WOS:001210918100001
- Scopus ID
- 2-s2.0-85186625992
- Other Identifier
- 991021861661004721
UN Sustainable Development Goals (SDGs)
This publication has contributed to the advancement of the following goals:
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health