Abstract
114. Improving Sexually Transmitted Infection Screening Rate in Inpatient Pediatric Patients
Journal of adolescent health, Vol.66(2 Supplement), pp.S59-S59
02/2020
DOI: 10.1016/j.jadohealth.2019.11.117
Abstract
Purpose
Sexually transmitted infections (STIs) are a group of infectious diseases that can cause acute illness and life-long health effects. Nearly half of all diagnosed cases occur in adolescents and young adults, ages 15-24. The American Academy of Pediatrics and Centers for Disease Control provide guidelines for routine STI screening for all sexually active adolescents. Despite these recommendations, screening rates in adolescents admitted to our hospital are low. The purpose of this study is to use quality improvement methodology to improve screening for HIV, gonorrhea, chlamydia, and syphilis in adolescent patients in an inpatient setting.
Methods
Eligible patients included all adolescents ages 14-18 admitted to our hospital over 6 months. Following baseline data collection, we introduced three interventions; rates of sexual history documentation and STI screening were recorded after each one. Interventions included providing resident education on the importance of STI screening, introducing prompts for sexual history taking in the History and Physical form, and providing residents with a “badge buddy” as a sexual history taking template.
Results
Prior to the interventions, 50% of patients ages 14-18 were asked questions regarding their sexual histories; 30% of patients were tested for STIs. After three interventions, sexual history taking improved to 70%, and STI screening rate improved to 53%. This represents an improvement in the rate of STI screening by 23%.
Conclusions
Simple interventions targeted at improving sexual history taking and knowledge of STI testing recommendations led to a significant increase in STI screening in an inpatient adolescent population.
Details
- Title: Subtitle
- 114. Improving Sexually Transmitted Infection Screening Rate in Inpatient Pediatric Patients
- Creators
- Mary Katherine Hood - University of Tennessee Health Science CenterMadeline Michalopulos - University of Tennessee Health Science CenterMichelle Bowden - University of Tennessee Health Science Center
- Resource Type
- Abstract
- Publication Details
- Journal of adolescent health, Vol.66(2 Supplement), pp.S59-S59
- DOI
- 10.1016/j.jadohealth.2019.11.117
- ISSN
- 1054-139X
- eISSN
- 1879-1972
- Language
- English
- Date published
- 02/2020
- Academic Unit
- Internal Medicine; Stead Family Department of Pediatrics; Hospital Medicine
- Record Identifier
- 9984702901102771
Metrics
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