Meg Rosenberg, M.D., Montefiore School Health Program

Slides:

Advertisements

Similar presentations

The Cost-Effectiveness of Screening Asymptomatic Men for Chlamydia to Prevent Pelvic Inflammatory Disease (PID) in Women T Gift 1, EF Dunne 1, J Chapin.

Advertisements

813 Wake County Lessons Learned and What’s to Come.

How to Measure the Effectiveness of the IPP (and all the CT Screening being done)? **Reduce Infertility** Ultimate Goal Reduce PID Reduce Chlamydia Prevalence.

Innovative Approaches to Screen School Populations for Sexually Transmitted Infections Paritosh Kaul, MD Douglas B Richardson Gerrit Bruintjes Cornelis.

Impact of a Targeted Provider Intervention to Improve Chlamydia Screening Practices in a Large California Family Planning Program Joan M. Chow 1, MPH,

Field Based Treatment of Chlamydia and Gonorrhea Nilmarie Guzmán,MD & Michael Sands,MD University of Florida/Jacksonville and the Duval County Health Department.

Preconception Healthcare: What Men Know and Believe Keith A. Frey, MD Richard Engle, MD Brie Noble Department of Family Medicine Mayo Clinic in Arizona.

DC American Academy of Pediatrics Adolescent Health Working Group Expedited Partner Therapy Fact Sheet Updated February 20, 2014 DC American Academy of.

Southern New Hampshire Health System Southern New Hampshire Medical Center 188 bed acute care community hospital 2/3 market share in southern NH area.

STDs in Adolescents and Young Adults Sexually Transmitted Disease Surveillance 2009 Division of STD Prevention.

Screening for Autism Spectrum Disorder Autism Case Training: A Developmental-Behavioral Pediatrics Curriculum 1 Authors Rebecca Scharf, MD, Children’s.

Screening and Treatment for Gonorrhea and Chlamydia as an HIV Prevention Strategy: Rationale and Implementation Thomas Farley, MD MPH Tulane University.

STD Testing Protocols, STD Testing, and Discussion of Sexual Behaviors in HIV Clinics in Los Angeles County Melanie M. Taylor MD, MPH Los Angeles County.

HIV/AIDS Epidemiology Update February 2009 Dr Nigel Dickson Director, AIDS Epidemiology Group Department of Preventive and Social Medicine University of.

STDs in Adolescents and Young Adults Sexually Transmitted Disease Surveillance 2003 Division of STD Prevention.

RTI International is a trade name of Research Triangle Institute Untreated chlamydial infection among adolescents and young adults in Baltimore,

Faiza Ali MD, Ericka Hayes MD, Gaurav Kaushik MPH, Nicole Carr RN, Katie Plax MD Washington University School Of Medicine Department of Pediatrics.

Sexually Transmitted Infections Mysheika Williams Roberts, MD, MPH Medical Director Assistant Health Commissioner Columbus.

Case 1: 23-year-old Male Student Clinical Director, Division of Infectious Diseases Brigham and Women’s Hospital Professor of Medicine Harvard Medical.

Economic Value of Family Caregiving: 2004 Peter S. Arno, PhD Department of Epidemiology and Population Health Montefiore Medical Center Albert Einstein.

The Impact of Introducing “Express Visits” for Asymptomatic Persons Seeking STD Services in a Busy Urban STD Clinic System, Borrelli J 1, Paneth-Pollak.

EFFECTIVENESS OF A MEDICAL EDUCATION INTERVENTION TO TREAT HYPERTENSION IN PRIMARY CARE Authors Institutions Authors: Silvia Martínez-Valverde MSc 1, Hortensia.

Expedited Partner Therapy The Denver Experience Cornelis A. Rietmeijer, MD, PhD Denver Public Health Department National Coalition of STD Directors Phoenix,

Pilot Study: Re-screening Adolescent and Young Adult Women for Chlamydia Infection Alison Muse NYSDOH Bureau of STD Control Region II IPP meeting November.

STDs in Adolescents and Young Adults Sexually Transmitted Disease Surveillance 1998 Division of STD Prevention.

STDs in Adolescents and Young Adults Sexually Transmitted Disease Surveillance 2007 Division of STD Prevention.

STIs (sexually transmitted infections) in the geriatric population

Screening for Autism Spectrum Disorder Autism Case Training: A Developmental-Behavioral Pediatrics Curriculum 1 Authors Rebecca Scharf, MD, Children’s.

STDs in Adolescents and Young Adults Sexually Transmitted Disease Surveillance 1999 Division of STD Prevention.

STD’s in Adolescents and Young Adults Sexually Transmitted Disease Surveillance 2001 Division of STD Prevention.

High prevalence rate of Trichomoniasis Vaginalis in an urban HIV clinic Debbie Mohammed, DrPH, MS, MPH, AACRN Prerak Shukla, MBBS Maria Szabela, MD Jihad.

Case 4: 65-year-old Man Newly Diagnosed, Has Other Health Issues Paul E. Sax, MD Clinical Director, Division of Infectious Diseases Brigham and Women’s.

STDs in Adolescents and Young Adults Sexually Transmitted Disease Surveillance 2005 Division of STD Prevention.

STDs in Adolescents and Young Adults Sexually Transmitted Disease Surveillance 2004 Division of STD Prevention.

T T H H I I Tennessee Health Indicators PROGRAM DIRECTOR: JEANECE SEALS, MA MEDICAL DIRECTOR: DR. CAROLYN WESTER, MD, MPH EPIDEMIOLOGY DIRECTOR: THOM SHAVOR,

CT and GC Screening: What about the guys?! Gale R Burstein, MD, MPH, FAAP, FSAHM Erie County Department of Health SUNY at Buffalo School of Medicine Buffalo,

AIDS in Adolescents and Youngsters Prof. Jorge Peláez Mendoza M.D. Prof. Jorge Peláez Mendoza M.D. Obstetrics and Gynecology Department Obstetrics and.

Catherine M. Bettcher, M.D. CME Director & Assistant Professor, Department of Family Medicine.

16th Annual Maternal and Child Health Coordinating Conference February 20, 2002 School-Based Health Centers As a Vehicle for Expanding Access for Adolescents.

Sexually Transmitted Infections in the Milwaukee County Juvenile Detention Center Wendi Ehrman MD Milwaukee Adolescent Health Program Medical College of.

Cervical Cancer Screening Guidelines and Rates of Chlamydia Screening Allison Ursu, MD Ananda Sen, PhD Mack Ruffin, MD, MPH April 27, 2015 Department of.

The PRECIS-2 tool: Matching Intent with Methods David Hahn, MD, MS, WREN Director Department of Family Medicine & Community Health University.

Marion County Health Department 2011–2015 STI Assessment Katarina Ost Public Health Associate Program Office for State, Tribal, Local and Territorial Support.

Role of Primary Care in the diagnosis of Sexually Transmitted Infections in England Martina Furegato Department of HIV and STI National Infection Service.

Developing and Improving a Fast Track Services Program in Chicago STD Clinics William Wong, MD Division of STD/HIV/AIDS Chicago Department of Public Health.

Seeking HIV-testing Only: Missed Opportunity for HIV Prevention?

Coordinated by…….

HIV Infection in Women in Our Community: The Continuum of Care

Mia Lustria School of Information

What Are Clinical Trials?

Pay for Performance Macaran Baird, MD, MS Professor and Head

Rowe, KA1, Tesoriero, JM1, Davis, SJ1, Heavner, KK1, Rothman, J2,

Martin Goldberg1, Daniel R. Newman2, TA Peterman2,

CDC Guidelines for Use of QuantiFERON®-TB Gold Test

Best Practices to Simplify and Optimize

Program Goals Overview of HIV Epidemic HIV and Communities of Color.

Optimizing HIV Care By Guiding and Educating the Workforce

Chapter 21 Sexually Transmitted Infections and HIV/AIDS

Definition of Social Medicine

Prevalence of Rectal Chlamydia and Gonorrhea Before and After Implementation of Routine Rectal Screening Ellen T. Rudy Sexually Transmitted Disease Program.

Division of STD/HIV/AIDS Chicago Department of Public Health

NCM Significance Care Transformation Collaborative of R.I.

Collecting health equity info – in the shoes of patients and providers

M Javanbakht, S Guerry, LV Smith, P Kerndt

Promoting Sexual Health in NYS

Systems Engineering: Complexity and Personalization are Key to Good Geriatric Care Christine Cassel, MD Planning Dean, Kaiser Permanente School of Medicine.

Finding Sex Partners On-Line: What’s the Risk for STI

Treatment Verification Rates for Chlamydia and Gonorrhea

M. Jacques Nsuami, MD, MPH Stephanie N. Taylor, MD

Presentation transcript:

Universal Voluntary Screening of Adolescents for Gonorrhea and Chlamydia in a School Based Clinic . Meg Rosenberg, M.D., Montefiore School Health Program Marji Gold, M.D., Department of Family and Community Medicine, Montefiore Medical Center Mayris Webber, Dr.P.H., Department of Epidemiology and Population Health, Montefiore Medical Center David Appel, M.D., Project Director, Montefiore School Health Program Corresponding presenter: Meg Rosenberg, M.D. at mrosenbe@montefiore.org

Statement of Problem Why is a new approach to screening for Chlamydia and Gonorrhea important?

Can we screen more of our patients and diagnose more infections with universal voluntary testing? 2

Materials and Methods

Materials and Methods 2

Results 1 Proportion of students tested doubled during the first 5 months of the study period

Results 2 How many young women were tested?

Results 4 Twice as many infections were identified during the first five months of the study period relative to usual care

Results 4 Why do patients decline testing?

Conclusions

Recommendations Universal voluntary screening may be an effective way of diagnosing and treating asymptomatic chlamydia and gonorrhea infections in both young men and young women. Further study needed to determine optimal screening intervals for young persons and to develop screening recommendations for young men Potential values and harms of universal screening for young persons need to be considered Research needed to understand health-care seeking behaviors of young men