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Extragenital Screening for Chlamydia and Gonorrhea Among Adolescents and Young Adults at a Sexual Health Clinic.
Nurs Womens Health. 2020 Jul 07 [Online ahead of print]NW

Abstract

OBJECTIVE

To increase screening rates for oropharyngeal and rectal (extragenital) chlamydia and gonorrhea infections among adolescents and young adults by 20% and for 90% of nurses to demonstrate a change in behavior and knowledge surrounding extragenital screening.

DESIGN

A pre- and posttest design to evaluate nurse knowledge and the percentage of extragenital chlamydia and gonorrhea screenings completed before and after a 2-month intervention period.

SETTING

Reproductive health clinic for adolescents and young adults up to age 25 years in the Twin Cities metropolitan area of Minnesota.

PARTICIPANTS

Four registered nurses who provide direct client care at the identified sexual and reproductive health clinic.

INTERVENTION/MEASUREMENTS

We implemented an education session for four staff nurses, a standardized sexual history taking tool, and protocols for obtaining oropharyngeal and rectal specimens. We measured extragenital chlamydia and gonorrhea screening rates, as well as knowledge and behavior change among registered nurses.

RESULTS

Data came from records for 623 individuals who were deemed at risk for extragenital chlamydia and gonorrhea infection. Extragenital chlamydia and gonorrhea screening rates increased by more than 700% from before to after the intervention. Five out of nine (55.6%) extragenital chlamydia and gonorrhea infections diagnosed would have been missed with urogenital screening alone. One hundred percent of nurses demonstrated an increase in their knowledge of the 5 P's of sexual health to conduct a risk assessment, the eligibility criteria for extragenital testing, and the actual collection processes of pharyngeal and rectal swabs.

CONCLUSION

Use of evidence-based recommendations and a collaborative team facilitated a more consistent approach to the assessment and diagnosis of extragenital chlamydia and gonorrhea infections. Generalizability is limited to the project site; however, this process could be implemented in other clinics to determine if similar results can be achieved.

Authors

No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32649927

Citation

Middlebrook, Hanna, and Maria Ruud. "Extragenital Screening for Chlamydia and Gonorrhea Among Adolescents and Young Adults at a Sexual Health Clinic." Nursing for Women's Health, 2020.
Middlebrook H, Ruud M. Extragenital Screening for Chlamydia and Gonorrhea Among Adolescents and Young Adults at a Sexual Health Clinic. Nurs Womens Health. 2020.
Middlebrook, H., & Ruud, M. (2020). Extragenital Screening for Chlamydia and Gonorrhea Among Adolescents and Young Adults at a Sexual Health Clinic. Nursing for Women's Health. https://doi.org/10.1016/j.nwh.2020.05.007
Middlebrook H, Ruud M. Extragenital Screening for Chlamydia and Gonorrhea Among Adolescents and Young Adults at a Sexual Health Clinic. Nurs Womens Health. 2020 Jul 7; PubMed PMID: 32649927.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Extragenital Screening for Chlamydia and Gonorrhea Among Adolescents and Young Adults at a Sexual Health Clinic. AU - Middlebrook,Hanna, AU - Ruud,Maria, Y1 - 2020/07/07/ PY - 2019/07/25/received PY - 2020/03/09/revised PY - 2020/05/01/accepted PY - 2020/7/11/entrez PY - 2020/7/11/pubmed PY - 2020/7/11/medline KW - STI KW - adolescent KW - chlamydia KW - extragenital KW - gonorrhea KW - screening KW - sexually transmitted infection KW - swabbing JF - Nursing for women's health JO - Nurs Womens Health N2 - OBJECTIVE: To increase screening rates for oropharyngeal and rectal (extragenital) chlamydia and gonorrhea infections among adolescents and young adults by 20% and for 90% of nurses to demonstrate a change in behavior and knowledge surrounding extragenital screening. DESIGN: A pre- and posttest design to evaluate nurse knowledge and the percentage of extragenital chlamydia and gonorrhea screenings completed before and after a 2-month intervention period. SETTING: Reproductive health clinic for adolescents and young adults up to age 25 years in the Twin Cities metropolitan area of Minnesota. PARTICIPANTS: Four registered nurses who provide direct client care at the identified sexual and reproductive health clinic. INTERVENTION/MEASUREMENTS: We implemented an education session for four staff nurses, a standardized sexual history taking tool, and protocols for obtaining oropharyngeal and rectal specimens. We measured extragenital chlamydia and gonorrhea screening rates, as well as knowledge and behavior change among registered nurses. RESULTS: Data came from records for 623 individuals who were deemed at risk for extragenital chlamydia and gonorrhea infection. Extragenital chlamydia and gonorrhea screening rates increased by more than 700% from before to after the intervention. Five out of nine (55.6%) extragenital chlamydia and gonorrhea infections diagnosed would have been missed with urogenital screening alone. One hundred percent of nurses demonstrated an increase in their knowledge of the 5 P's of sexual health to conduct a risk assessment, the eligibility criteria for extragenital testing, and the actual collection processes of pharyngeal and rectal swabs. CONCLUSION: Use of evidence-based recommendations and a collaborative team facilitated a more consistent approach to the assessment and diagnosis of extragenital chlamydia and gonorrhea infections. Generalizability is limited to the project site; however, this process could be implemented in other clinics to determine if similar results can be achieved. SN - 1751-486X UR - https://www.unboundmedicine.com/medline/citation/32649927/Extragenital_Screening_for_Chlamydia_and_Gonorrhea_Among_Adolescents_and_Young_Adults_at_a_Sexual_Health_Clinic L2 - https://linkinghub.elsevier.com/retrieve/pii/S1751-4851(20)30101-X DB - PRIME DP - Unbound Medicine ER -
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