Monica E Patton1, Robert D Kirkcaldy, Douglas C Chang, Stephanie Markman, Marilyn Yellowman, Emiko Petrosky, Laura Adams, Candice Robinson, Akash Gupta, Melanie M Taylor. 1. From the *Division of STD Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Atlanta, GA; †Epidemic Intelligence Service, Office of Workforce and Career Development, Centers for Disease Control and Prevention, Atlanta, GA, ‡Phoenix Indian Medical Center, Indian Health Service, Phoenix, AZ; §Arizona Department of Health Services, Phoenix, AZ; ¶CDC Experience Fellowship, Centers for Disease Control and Prevention, Atlanta, GA.
Abstract
BACKGROUND: Gonorrhea screening is recommended for women at risk and men who have sex with men; expanded screening is encouraged based on local epidemiology. In response to a substantial increase in gonorrhea cases at an urban medical center serving American Indians, gonorrhea screening of all sexually active patients aged 14 to 45 years was initiated in March 2013. We describe gonorrhea screening coverage and case finding before and after implementation of expanded screening. METHODS: In March 2013, provider training, electronic health record prompts, and bundled laboratory orders were implemented to facilitate gonorrhea screening of all sexually active patients aged 14 to 45 years. We assessed the proportions of patients screened and testing positive for gonorrhea in the 2 years before (March 2011-February 2012 [indicated as 2011], March 2012-February 2013 [2012]) and 1 year after (March 2013-February 2014 [2013]) expanded screening measures. RESULTS: Gonorrhea screening coverage increased from 22% (2012) to 38% (2013); coverage increased 50% among females and 202% among males. Screening coverage increased in nearly all clinics. Gonorrhea case finding increased 68% among females in 2013 (n = 104) compared with 2012 (n = 62), primarily among women aged 25 to 29 years. No corresponding increase in gonorrhea case finding occurred among males. Most increased case finding occurred in the emergency department. CONCLUSIONS: After introduction of expanded gonorrhea screening, there was a significant increase in gonorrhea screening coverage and a subsequent increase in gonorrhea case finding among females. Despite increased screening in all clinics, increased case finding only occurred in the emergency department.
BACKGROUND:Gonorrhea screening is recommended for women at risk and men who have sex with men; expanded screening is encouraged based on local epidemiology. In response to a substantial increase in gonorrhea cases at an urban medical center serving American Indians, gonorrhea screening of all sexually active patients aged 14 to 45 years was initiated in March 2013. We describe gonorrhea screening coverage and case finding before and after implementation of expanded screening. METHODS: In March 2013, provider training, electronic health record prompts, and bundled laboratory orders were implemented to facilitate gonorrhea screening of all sexually active patients aged 14 to 45 years. We assessed the proportions of patients screened and testing positive for gonorrhea in the 2 years before (March 2011-February 2012 [indicated as 2011], March 2012-February 2013 [2012]) and 1 year after (March 2013-February 2014 [2013]) expanded screening measures. RESULTS:Gonorrhea screening coverage increased from 22% (2012) to 38% (2013); coverage increased 50% among females and 202% among males. Screening coverage increased in nearly all clinics. Gonorrhea case finding increased 68% among females in 2013 (n = 104) compared with 2012 (n = 62), primarily among women aged 25 to 29 years. No corresponding increase in gonorrhea case finding occurred among males. Most increased case finding occurred in the emergency department. CONCLUSIONS: After introduction of expanded gonorrhea screening, there was a significant increase in gonorrhea screening coverage and a subsequent increase in gonorrhea case finding among females. Despite increased screening in all clinics, increased case finding only occurred in the emergency department.
Authors: Matthew Bidwell Goetz; Tuyen Hoang; Herschel Knapp; Jane Burgess; Michael D Fletcher; Allen L Gifford; Steven M Asch Journal: J Gen Intern Med Date: 2013-04-19 Impact factor: 5.128
Authors: Cliodna A M McNulty; Angela H Hogan; Ellie J Ricketts; Louise Wallace; Isabel Oliver; Rona Campbell; Sebastian Kalwij; Elaine O'Connell; Andre Charlett Journal: Sex Transm Infect Date: 2013-09-04 Impact factor: 3.519
Authors: Samitha Ginige; Christopher K Fairley; Jane S Hocking; Francis J Bowden; Marcus Y Chen Journal: BMC Public Health Date: 2007-06-04 Impact factor: 3.295
Authors: Michael Sang Hughes; Andria Apostolou; Brigg Reilley; Jessica Leston; Jeffrey McCollum; Jonathan Iralu Journal: Public Health Rep Date: 2020-12-10 Impact factor: 2.792