دورية أكاديمية
أعرض في EDS

Enhancing the Routine Screening Infrastructure to Address a Syphilis Epidemic in Miami-Dade County.

التفاصيل البيبلوغرافية
العنوان: Enhancing the Routine Screening Infrastructure to Address a Syphilis Epidemic in Miami-Dade County.
المؤلفون: Larios Venegas A; From the Homestead Hospital, Baptist Health South Florida, Miami., Melbourne HM; From the Homestead Hospital, Baptist Health South Florida, Miami., Castillo IA; From the Homestead Hospital, Baptist Health South Florida, Miami., Spell K; From the Homestead Hospital, Baptist Health South Florida, Miami., Duquette W; From the Homestead Hospital, Baptist Health South Florida, Miami., Villamizar K; Florida Department of Health, Miami-Dade County., Gallo G; Jackson South Medical Center., Parris D; Center for Advanced Analytics, Baptist Health South Florida, Miami, FL., Rojas LM; Center for Advanced Analytics, Baptist Health South Florida, Miami, FL.
المصدر: Sexually transmitted diseases [Sex Transm Dis] 2020 May; Vol. 47 (5S Suppl 1), pp. S61-S65.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: J B Lippincott Country of Publication: United States NLM ID: 7705941 Publication Model: Print Cited Medium: Internet ISSN: 1537-4521 (Electronic) Linking ISSN: 01485717 NLM ISO Abbreviation: Sex Transm Dis Subsets: MEDLINE
أسماء مطبوعة: Publication: Philadelphia Pa : J B Lippincott
Original Publication: Philadelphia, Lippincott.
مواضيع طبية MeSH: Epidemics/*prevention & control , Mass Screening/*statistics & numerical data , Syphilis/*diagnosis , Syphilis Serodiagnosis/*methods, Algorithms ; Female ; Florida/epidemiology ; Humans ; Male ; Mass Screening/methods ; Retrospective Studies ; Syphilis/epidemiology ; Syphilis/prevention & control
مستخلص: Background: In a recent sexually transmitted disease surveillance report from the Centers for Disease Control and Prevention, Miami-Dade County had the nation's fourth highest rate of infectious syphilis, with rates of congenital syphilis on the rise. As a public health response, Homestead Hospital, in collaboration with the Florida Department of Health, enhanced their emergency department's routine HIV/HCV "opt-out" screening infrastructure to include a syphilis smart screening algorithm. The purpose of this article is to describe the development, implementation, and evaluation of the algorithm.
Methods: A retrospective evaluation of patient records prompted the development of the algorithm. Homestead Hospital's electronic health record system automatically triggers a syphilis test based on the reason for medical visit (e.g., rash, penile discharge, a positive pregnancy test, historical or present sexually transmitted disease result). If a patient tests positive, he/she is counseled and linked to care.
Results: Since implementation (April 2018 to August 2019), the smart screening algorithm triggered 4806 syphilis tests: 122 patients tested positive (2.5% seropositivity). After confirmatory testing, 59 patients were positive for syphilis, of which 27 were pregnant.
Conclusions: The Homestead Hospital and Department of Health-Miami-Dade's response to Miami-Dade County's syphilis problem is innovative and replicable. The program embraces technology, enhances the routine opt-out screening model, and does not affect preexisting workflows. Ultimately, implementation of this algorithm allows patients to get treatment, receive comprehensive prevention services, and, in some cases, avert congenital syphilis.
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تواريخ الأحداث: Date Created: 20200201 Date Completed: 20210406 Latest Revision: 20210406
رمز التحديث: 20240628
DOI: 10.1097/OLQ.0000000000001133
PMID: 32004258
قاعدة البيانات: MEDLINE
الوصف
تدمد:1537-4521
DOI:10.1097/OLQ.0000000000001133