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Int J STD AIDS. 2009 Aug;20(8):534-9. doi: 10.1258/ijsa.2008.008395.
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Revised recommendations for HIV testing of adults, adolescents, and pregnant women in health-care settings.医疗机构中成人、青少年及孕妇HIV检测的修订建议。
MMWR Recomm Rep. 2006 Sep 22;55(RR-14):1-17; quiz CE1-4.
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Sexually transmitted diseases treatment guidelines, 2006.《2006年性传播疾病治疗指南》
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成年男性急诊科患者疑似衣原体和/或淋病性尿道炎时检测、经验性治疗及转诊的充分性。

Adequacy of testing, empiric treatment, and referral for adult male emergency department patients with possible chlamydia and/or gonorrhoea urethritis.

作者信息

Merchant R C, Depalo D M, Stein M D, Rich J D

机构信息

Department of Emergency Medicine, Rhode Island Hospital, Providence, RI 02903, USA.

出版信息

Int J STD AIDS. 2009 Aug;20(8):534-9. doi: 10.1258/ijsa.2008.008395.

DOI:10.1258/ijsa.2008.008395
PMID:19625583
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2936231/
Abstract

This study evaluated the adequacy of testing, empiric treatment and referral for further evaluation of adult male emergency department (ED) patients with possible chlamydia and/or gonorrhoea urethritis. Of 968 adult male ED patients, 84% were tested for chlamydia and gonorrhoea, 16% for HIV and 27% for syphilis; 92% received empiric treatment for chlamydia and gonorrhoea and 71% were referred for further evaluation; of those tested, 29% were infected with chlamydia, gonorrhoea or both; and 3% of those tested had a positive syphilis test. The results of logistic regression modelling indicated that testing, treatment and referral were not related to a history of sexual contact with someone known to have a sexually transmitted disease or to the patient's ultimate diagnosis of a laboratory-confirmed infection. Compliance with Centers for Disease Control and Prevention (CDC) recommendations for chlamydia and gonorrhoea testing and treatment regimens was high, but was poor for HIV testing. More explicit guidance from CDC regarding syphilis testing and referral for further evaluation is needed.

摘要

本研究评估了成年男性急诊科（ED）可能患有衣原体和/或淋病性尿道炎患者的检测、经验性治疗及转诊以进行进一步评估的充分性。在968名成年男性ED患者中，84%接受了衣原体和淋病检测，16%接受了HIV检测，27%接受了梅毒检测；92%接受了衣原体和淋病的经验性治疗，71%被转诊进行进一步评估；在接受检测的患者中，29%感染了衣原体、淋病或两者皆有；接受检测的患者中有3%梅毒检测呈阳性。逻辑回归模型的结果表明，检测、治疗和转诊与与已知患有性传播疾病者的性接触史或患者实验室确诊感染的最终诊断无关。对疾病控制与预防中心（CDC）关于衣原体和淋病检测及治疗方案的建议的依从性较高，但HIV检测的依从性较差。CDC需要就梅毒检测和转诊进行进一步评估提供更明确的指导。