Impact of Rapid Testing for Gonorrhea and Chlamydia in an Urban Pediatric Emergency Department

Lehto, Elizabeth; Anderson, Brit; Reed, Jennifer L.; Stevenson, Michelle D.

doi:10.1016/j.jadohealth.2022.01.219

Cited by 3 publications

(2 citation statements)

References 20 publications

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“…A potential solution to improving the accuracy of ED-based EPT provision is rapid testing for chlamydia and gonorrhea. [42][43][44][45] On the other hand, EPT could still be appropriate even when laboratory testing is negative if the patient was tested before the test could accurately detect the infection (i.e., a "window period" after exposure). Without rapid testing, many EDs have developed dedicated follow-up teams to address positive test results after ED discharge.…”

Section: Discussionmentioning

confidence: 99%

Mixed-method evaluation of an expedited partner therapy take-home medication program: a pilot ED intervention to improve sexual health equity

Ager

Sturdavant

Curry

et al. 2023

Preprint

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Background: Treatment for partners of patients diagnosed with sexually transmitted infections (STIs), referred to as expedited partner therapy (EPT), is infrequently used in emergency departments (EDs). This was a pilot program to initiate and evaluate EPT through medication-in-hand ('take-home') kits or paper prescriptions. This study aimed to assess the frequency of EPT prescribing, the efficacy of a randomized best practice advisory (BPA) on the uptake of EPT, perceptions of ED clinicians regarding the EPT pilot, and factors associated with EPT prescribing. Methods: This pilot study was conducted at an academic ED in the midwestern US between August and October 2021. The primary outcome was EPT prescription uptake and the BPA impact was measured via chart abstraction and analyzed through summary statistics and Fishers exact test. The secondary outcome of barriers and facilitators to program implementation was analyzed through ED staff interviews (physicians, physician assistants, and nurses). A rapid qualitative assessment method for the analysis of the interviews was employed. Results: Fifty-two ED patients were treated for chlamydia/gonorrhea during the study period. EPT was offered to 25% (95% CI 15%-39%) of patients. EPT was prescribed twice as often (85% vs. 38%; p<0.01) when the interruptive pop-up alert BPA was shown. Barriers identified in the interviews included workflow constraints and knowledge of EPT availability. The BPA was viewed positively by the majority of participants. Conclusions: In this pilot EPT program, EPT was provided to 25% of ED patients who appeared eligible to receive it. The interruptive pop-up alert BPA significantly increased EPT prescribing. Barriers identified to EPT prescribing can be the subject of future interventions to improve ED EPT provision.

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Section: Discussionmentioning

confidence: 99%

Mixed-method evaluation of an expedited partner therapy take-home medication program: a pilot ED intervention to improve sexual health equity

Ager

Sturdavant

Curry

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…A potential solution to improve the accuracy of ED-based EPT provision is rapid testing for chlamydia and gonorrhea. [42][43][44][45] On the other hand, EPT could still be appropriate even when lab testing is negative if the patient was tested before the test could accurately detect the infection (ie, a "window period" after exposure). Without rapid testing, many EDs have developed dedicated follow-up teams to address positive test results after ED discharge.…”

Section: Discussionmentioning

confidence: 99%

Mixed-methods Evaluation of an Expedited Partner Therapy Take-home Medication Program: Pilot Emergency Department Intervention to Improve Sexual Health Equity

Ager,

Sturdavant,

Curry

et al. 2023

WestJEM

View full text Add to dashboard Cite

Background Treatment for partners of patients diagnosed with sexually transmitted infections (STI), referred to as expedited partner therapy (EPT), is infrequently used in the emergency department (ED). This was a pilot program to initiate and evaluate EPT through medication-in-hand (“take-home”) kits or paper prescriptions. In this study we aimed to assess the frequency of EPT prescribing, the efficacy of a randomized best practice advisory (BPA) on the uptake, perceptions of emergency clinicians regarding the EPT pilot, and factors associated with EPT prescribing. Methods We conducted this pilot study at an academic ED in the midwestern US between August–October 2021. The primary outcome of EPT prescription uptake and the BPA impact was measured via chart abstraction and analyzed through summary statistics and the Fisher exact test. We analyzed the secondary outcome of barriers and facilitators to program implementation through ED staff interviews (physicians, physician assistants, and nurses). We used a rapid qualitative assessment method for the analysis of the interviews. Results During the study period, 52 ED patients were treated for chlamydia/gonorrhea, and EPT was offered to 25% (95% CI 15%–39%) of them. Expedited partner therapy was prescribed significantly more often (42% vs 8%; P < 0.01) when the interruptive pop-up alert BPA was shown compared to not shown. Barriers identified in the interviews included workflow constraints and knowledge of EPT availability. The BPA was viewed positively by the majority of participants. Conclusion In this pilot EPT program, expedited partner therapy was provided to 25% of ED patients who appeared eligible to receive it. The interruptive pop-up alert BPA significantly increased EPT prescribing. Barriers identified to EPT prescribing should be the subject of future interventions to improve provision of EPT from the emergency department.

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Sexually Transmitted Infections in the Emergency Department

Solnick,

López,

Martinez

et al. 2024

Emergency Medicine Clinics of North America

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Impact of Rapid Testing for Gonorrhea and Chlamydia in an Urban Pediatric Emergency Department

Cited by 3 publications

References 20 publications

Mixed-method evaluation of an expedited partner therapy take-home medication program: a pilot ED intervention to improve sexual health equity

Mixed-method evaluation of an expedited partner therapy take-home medication program: a pilot ED intervention to improve sexual health equity

Mixed-methods Evaluation of an Expedited Partner Therapy Take-home Medication Program: Pilot Emergency Department Intervention to Improve Sexual Health Equity

Sexually Transmitted Infections in the Emergency Department

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