scholarly journals Map of sexually transmitted disease care in Spanish emergency departments

2021 ◽  
Author(s):  
Òscar Miró ◽  
◽  
Emília Miró ◽  
Eric Jorge García-Lamberechts ◽  
Alberto Villamor Ordozgoiti ◽  
...  
Keyword(s):  
Sexually Transmitted Diseases ◽  
Emergency Departments ◽  
Transmitted Disease ◽  
Autonomous Community ◽  
Hospital Size ◽  
Sexually Transmitted ◽  
La Mancha ◽  
La Rioja ◽  
Hospital Outpatients

Objective. To determine the approaches used in Spanish emergency departments (EDs) in patients suspected of having sexually transmitted diseases (STD) analysed according to the size of the hospital, ED census and autonomous community. Material and methods. Questionnaire to the heads of 282 public EDs (7/24) related to emergency routines for patients with suspected STD. Results compared using odds-ratio (OR) and 95% confidence interval (95%CI) according to hospital size (large vs medium-small: ≥500 vs. <500 beds) and ED census (high vs. medium-low: ≥200 vs. <200 patients/day), by autonomous community. Results. A total of 250 EDs responded (89%). With protocol for STD 36% of EDs [>60% Catalonia, Vasque Country, more in large hospitals (LH), (OR=2.65, 95%CI=1.46-4.82) and high census (HCEN) EDs, (OR=3.49, 95%CI=2.03-5.98)]. 70% obtained exudate sampling (>80% Catalonia, Madrid, Castilla-La Mancha, Aragón, Navarra, Vasque Country), 44% STD serology (>60% Madrid) and 35% HIV serology [(>60% Navarra, Baleares; more in LH (OR=2.43, 95%CI=1.34-4.42) and HCEN EDs (OR=1.94, 95%CI=1.15-3.29)]. At discharge, follow-up in hospital outpatients clinics 53% of EDs [>60% Catalonia, Comunidad Valenciana, Murcia, Castilla-La Mancha, Vasque Country, Asturias; more in LH (OR=2.45, 95%CI=1.31-4.57) and HCEN EDs (OR=2.25, 95%CI=1.35-3.76)] and by primary care 28% (>80% Cantabria). In 55% of EDs, patients are discharged with a scheduled follow-up (>80% Extremadura, La Rioja, Navarra) and 32% visit next workday [>60% Vasque Country; more in LH (OR=3.43, 95%CI=1.87-6.30) and HCEN EDs (OR=3.63, 95%CI=2.08-6.37)]. Conclusion. The care of patients with suspected STD is not homogeneous in Spanish EDs. Areas of improvement were detected, especially the need for specific diagnostic and follow-up protocols.

scholarly journals Perceptions of sexually transmitted diseases among teenagers

Curationis ◽  
2000 ◽  
Vol 23 (4) ◽  
Author(s):  
DM Diale ◽  
SD Roos
Keyword(s):  
Health Services ◽  
Sexually Transmitted Diseases ◽  
Transmitted Disease ◽  
Health Service Delivery ◽  
High Rate ◽  
Care Community ◽  
Sexually Transmitted ◽  
Intensive Training ◽  
Service Training ◽  
Black Area

An ex p lo ra to ry d e sc rip tiv e study was u n d e rtak en , focussing on sexually transmitted diseases (STD) among teenagers. The aim of the study was to explore and describe the possible reasons for the high rate of sexually transmitted diseases in teenagers. The perceptions of teenagers and community nurses regarding sexually transmitted disease among teenagers involved in the teenage clinic in a specific predominantly black area were assessed. Twenty teenagers and five community nurses were participants in the study. Two focus group interviews were conducted with teenagers and community nurses. It can be concluded that the attitudes of community nurses may have an influence on the high rate of sexually transmitted diseases among teenagers. The knowledge o f the teenagers about sexually transmitted diseases is often based on myths and misconceptions which could be intensified by the community nurse. The recommendations made are that the education standards of all community nurses should be reviewed and adapted to meet the needs of teenagers attending the teenage health services. The policy on in-service training must be reviewed and monitored. Community nurses’ intensive training on teenage health service delivery and sexually transmitted diseases services should be in accordance with the principles of Primary Health Care. Community nurses need to attend intensive courses on interpersonal skills specifically related to teenagers. Selection procedures for recruiting community nurses to attend to teenagers specifically should be researched. Teenagers should be involved in planning programs and the teenage clinic should be evaluated frequently to improve the standards. The availability of adequate teenage health services can result in a decrease in sexually transmitted diseases among teenagers.

The effect of modest monetary incentives on follow-up rates in sexually transmitted disease studies

2000 ◽  
Vol 11 (1) ◽  
pp. 27-30 ◽  
Author(s):  
P Kissinger ◽  
J J Kopicko ◽  
L Myers ◽  
S Wustrack ◽  
W Elkins ◽  
...  
Keyword(s):  
Sexually Transmitted Disease ◽  
Transmitted Disease ◽  
Monetary Incentives ◽  
Sexually Transmitted

Incidence of Sexually Transmitted Diseases Among Massage Parlour Employees in Bangkok, Thailand

1994 ◽  
Vol 5 (3) ◽  
pp. 214-217 ◽  
Author(s):  
Michèle G Bonhomme ◽  
Wiwat Rojanapithayakorn ◽  
Paul J Feldblum ◽  
Michael J Rosenberg
Keyword(s):  
Risk Factors ◽  
Sexually Transmitted Diseases ◽  
Sexually Transmitted Disease ◽  
Controlled Trial ◽  
Transmitted Disease ◽  
Admission Criteria ◽  
Sexually Transmitted ◽  
Randomized Controlled ◽  
Related Risk ◽  
Number Of Sexual Partners

The results of a study of sexually transmitted disease (STD) incidence and related risk factors for STDs among uninfected women at high risk of contracting STD infection in Bangkok are reported. Comprising the control arm of a randomized controlled trial of a vaginal contraceptive sponge and STD incidence, 163 women aged 18 or older were recruited from 4 massage parlours and followed for evidence of new infections over a 6–week period or until cervical infection occurred. Gynaecological examinations were performed and endocervical specimens were obtained at weekly intervals, at which time women returned coital logs recording their number of sexual partners. There were 76.5 new STD infections per 100 woman-months, including 31.7 with gonorrhoea, 43.1 with chlamydia, 1.8 of trichomoniasis and 3.5 of candidiasis. None of the risk factors examined were good predictors of STD infection in this population, which may be related to the restricted admission criteria in the study.

Syphilis (Treponema pallidum)

2018 ◽  
Author(s):  
Mark N. Gilroy ◽  
Juan C. Salazar
Keyword(s):  
Congenital Syphilis ◽  
Transmitted Disease ◽  
Treponema Pallidum ◽  
Public Health Problem ◽  
Adverse Outcomes ◽  
Global Public Health ◽  
Serological Screening ◽  
Sexually Transmitted

Syphilis, a chronic, sexually transmitted disease caused by the extracellular spirochete Treponema pallidum, has exhibited a remarkable resurgence in recent years. Despite the existence of inexpensive, easily administered, and highly effective antibiotic treatments, maternal and neonatal syphilis infections continue to be a major global public health problem. In addition to its potential to cause morbidity in the mother, untreated gestational syphilis (GS) can lead to serious adverse outcomes in the offspring, including stillbirth, prematurity, low birth weight, and neonatal death. Congenital syphilis (CS) is regarded as a missed opportunity during the antenatal care of the mother, resulting from socioeconomic, demographic, and behavioral factors that promote mother-to-child transmission (MTCT) of syphilis. This chapter emphasizes emerging concepts about screening aimed at controlling the ongoing epidemic, including serological screening of mother and infant, newer paradigms of “reverse screening,” clinical presentation, therapy, and long-term neurodevelopmental disabilities that must be a component of follow-up care.

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