Sexually transmitted infection follow-up adherence low among urban youth

Even after being contacted about the results of their test by a community nurse, more than 40% of patients did not seek out treatment.

Sexually transmitted infection follow-up adherence low among urban youth
Sexually transmitted infection follow-up adherence low among urban youth

LAS VEGAS — Less than 25% of adolescent females diagnosed with pelvic inflammatory disease (PID) adhere to the CDC's recommended 72-hour follow-up, highlighting a need for new care delivery models to increase follow-up treatment in this patient population, according to a poster presented at the National Association of Pediatric Nurse Practitioner 2015 meeting.

For health-care providers, it's “imperative to understand the clinical needs for adequate follow-up of those at risk for adverse outcomes associated with complex sexually transmitted infections (STIs),” noted Arlene Butz, ScD, MSN, CRNP-Peds, of Johns Hopkins University School of Medicine and School of Nursing, in Baltimore, Maryland, and colleagues.

To determine the level of nurse and community outreach worker contacts needed to track and set follow-up with for young adult patients diagnosed with recurrent sexually transmitted infection (STI), the investigators followed 153 patients, aged 18.1 years on average, who visited an emergency department or urgent care clinic with a diagnosis of PID.

Vaginal swabs were collected at 1 and 3 months for recurrent STIs (neisseria gonorrhoea, chlamydia trachomatis, trichomonos vaginalis, and mycoplasma genitalium)

Over one-third (39%) of participants tested positive for one or more STIs over the 3 month follow up. Even after being contacted about the results of their test by a community nurse, more than 40% of patients did not seek out treatment, found the researchers.

“Efforts to increase treatment for STIs among young urban women is essential to prevent PID sequelae and public health control,” concluded the researchers.

References

  1. Butz A et al. #W-15. “Urban Adolescents and Young Adults with Recurrent Sexually Transmitted Infections (STIs) Post Pelvic Inflammatory Disease: Need for Intensive Nurse and Community Outreach Follow-up.” Presented at: NAPNAP 2015. March 11-14, 2015; Las Vegas.
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