性传播疾病筛查、检测、病例报告以及临床和性伴侣通知实践：一项针对美国医生的全国性调查。
STD screening, testing, case reporting, and clinical and partner notification practices: a national survey of US physicians.
作者信息
St Lawrence Janet S, Montaño Daniel E, Kasprzyk Danuta, Phillips William R, Armstrong Keira, Leichliter Jami S
机构信息
Division of STD Prevention, Centers for Disease Control and Prevention, Atlanta, Ga 30329, USA.
出版信息
Am J Public Health. 2002 Nov;92(11):1784-8. doi: 10.2105/ajph.92.11.1784.
OBJECTIVES
This study presents results from a national survey of US physicians that assessed screening, case reporting, partner management, and clinical practices for syphilis, gonorrhea, chlamydia, and HIV infection.
METHODS
Surveys were mailed to a random sample of 7300 physicians to assess screening, testing, reporting, and partner notification for syphilis, gonorrhea, chlamydia, and HIV.
RESULTS
Fewer than one third of physicians routinely screened men or women (pregnant or nonpregnant) for STDs. Case reporting was lowest for chlamydia (37 percent), intermediate for gonorrhea (44 percent), and higher for syphilis, HIV, and AIDS (53 percent-57 percent). Physicians instructed patients to notify their partners (82 percent-89 percent) or the health department (25 percent-34 percent) rather than doing so themselves.
CONCLUSIONS
STD screening levels are well below practice guidelines for women and virtually nonexistent for men. Case reporting levels are below those legally mandated; physicians rely instead on patients for partner notification. Health departments must increase collaboration with private physicians to improve the quality of STD care.
目的
本研究展示了一项针对美国医生的全国性调查结果，该调查评估了梅毒、淋病、衣原体感染和艾滋病毒感染的筛查、病例报告、性伴侣管理及临床实践情况。
方法
向7300名医生的随机样本邮寄调查问卷，以评估梅毒、淋病、衣原体感染和艾滋病毒的筛查、检测、报告及性伴侣通知情况。
结果
不到三分之一的医生定期对男性或女性（怀孕或未怀孕）进行性传播疾病筛查。衣原体感染的病例报告率最低（37%），淋病为中等水平（44%），梅毒、艾滋病毒和艾滋病的报告率较高（53%-57%）。医生指导患者通知其性伴侣（82%-89%）或卫生部门（25%-34%），而不是自己去做。
结论
性传播疾病筛查水平远低于针对女性的实践指南，对男性而言实际上不存在筛查。病例报告水平低于法定要求；医生依赖患者进行性伴侣通知。卫生部门必须加强与私人医生的合作，以提高性传播疾病的治疗质量。
Zotero 插件