Presentation is loading. Please wait.

Presentation is loading. Please wait.

Improving STD Screening Rates in the HIV Clinics C. Lynn Besch, MD for the LSUHSC HIV Disease Management Team.

Published bySally Kibbey Modified over 9 years ago

Similar presentations

Presentation on theme: "Improving STD Screening Rates in the HIV Clinics C. Lynn Besch, MD for the LSUHSC HIV Disease Management Team."— Presentation transcript:

1 Improving STD Screening Rates in the HIV Clinics C. Lynn Besch, MD for the LSUHSC HIV Disease Management Team

2 STD Screening - Rationale STD’s – dangerous for individuals and their communities Complications from infection Cost of treatment Interaction with HIV transmission USA – high rates of STD’s LA – high, high, high rates of STD’s Periodic STD screening recommended in HIV clinics

3 Chlamydia—Rates by State, United States and Outlying Areas, 2009 NOTE: The total rate of chlamydia for the United States and outlying areas (Guam, Puerto Rico, and Virgin Islands) was 406.3 per 100,000 population.

4 Gonorrhea—Rates by State, United States and Outlying Areas, 2009 NOTE: The total rate of gonorrhea for the United States and outlying areas (Guam, Puerto Rico, and Virgin Islands) was 97.8 per 100,000 population.

5 Primary and Secondary Syphilis—Rates by State, United States and Outlying Areas, 2009 NOTE: The total rate of primary and secondary syphilis for the United States and outlying areas (Guam, Puerto Rico, and Virgin Islands) was 4.6 per 100,000 population.

6 STD Screening in the LSU HIV Clinics Objective: Increase STD screening rates to 85% Baseline data 3 rd Q 2007: 7 HIV clinics (as a group) screening rate – GC10% Chlamydia (CT) 18% Syphilis68%

7 Diversity of HCSD HIV Clinics size range from 200->2000 dedicated MD’s – house staff on site subspecialties or not depth of support services

8 STD screening – Issues Barriers / problems common to all: Identification of patients for screening Reminders for clinicians to order screening Problems with specimen collection Tracking progress Providing feedback to clinicians

9 STD Screening - Methods Educational programs for staff Screening charts Revision of lab ordering slips Development of standing orders or protocols Collection kits placed in clinic Giving patients specimen cups early in the clinic visit (plenty of time for collection)

10 CT screening – Q1 2008 to Q4 2009

11 CT Screening Q1 2009 to Q2 2011

12 GC screening –Q1 2008 to 4Q 2009

13 GC screening - Q1 ‘10 to Q2 ‘11

14 Syphilis Screening 2008 to 2009

15 Syphilis Screening: Q1‘10 - Q2 ‘11

16 STD Screening: Results All clinics dramatically improved screening rates, especially for GC and CT Methods included educational efforts and programmatic changes Group effort with shared responsibility for improvement Success belongs to the entire clinic staff

Download ppt "Improving STD Screening Rates in the HIV Clinics C. Lynn Besch, MD for the LSUHSC HIV Disease Management Team."

Similar presentations

Sexually Transmitted Disease (STD) Surveillance Report, 2010

Sexually Transmitted Disease (STD) Surveillance Report, 2010
STDs in Women and Infants Sexually Transmitted Disease Surveillance 2000 Division of STD Prevention.

STDs in Women and Infants Sexually Transmitted Disease Surveillance 2000 Division of STD Prevention.
STDs Valerie Robinson D.O.. Prevention Abstinence Risk reduction Vaccines Male or female condoms Cervical diaphragm might protect against cervical GC,

STDs Valerie Robinson D.O.. Prevention Abstinence Risk reduction Vaccines Male or female condoms Cervical diaphragm might protect against cervical GC,
813 Wake County Lessons Learned and What’s to Come.

813 Wake County Lessons Learned and What’s to Come.
Expanding STD Prevention Opportunities Mark Thrun, MD Associate Professor of Medicine University of Colorado School of Medicine Director, HIV/STD Prevention.

Expanding STD Prevention Opportunities Mark Thrun, MD Associate Professor of Medicine University of Colorado School of Medicine Director, HIV/STD Prevention.
Feasibility of STD Control for HIV Prevention: Findings from Three Southern Cities NEW ORLEANS: Thomas Farley & Deborah Cohen BALTIMORE: Anne Rompalo,

Feasibility of STD Control for HIV Prevention: Findings from Three Southern Cities NEW ORLEANS: Thomas Farley & Deborah Cohen BALTIMORE: Anne Rompalo,
Hispanic population in Virginia STD Trends Data through 2006.

Hispanic population in Virginia STD Trends Data through 2006.
STD Screening in HIV Clinics: Value and Implications Thomas Farley, MD MPH Tulane University Deborah Cohen, MD MPH RAND Corporation.

STD Screening in HIV Clinics: Value and Implications Thomas Farley, MD MPH Tulane University Deborah Cohen, MD MPH RAND Corporation.
1 The Integration of Sexually Transmitted Disease Testing & HIV Counseling and Testing Los Angeles County, 2002 Harlan Rotblatt Melanie Taylor, MD, MPH.

1 The Integration of Sexually Transmitted Disease Testing & HIV Counseling and Testing Los Angeles County, 2002 Harlan Rotblatt Melanie Taylor, MD, MPH.
Syphilis Trends in the United States James D. Heffelfinger, MD, MPH Epidemiology and Surveillance Branch, DSTD Centers for Disease Control and Prevention.

Syphilis Trends in the United States James D. Heffelfinger, MD, MPH Epidemiology and Surveillance Branch, DSTD Centers for Disease Control and Prevention.
Field Based Treatment of Chlamydia and Gonorrhea Nilmarie Guzmán,MD & Michael Sands,MD University of Florida/Jacksonville and the Duval County Health Department.

Field Based Treatment of Chlamydia and Gonorrhea Nilmarie Guzmán,MD & Michael Sands,MD University of Florida/Jacksonville and the Duval County Health Department.
Maricopa County STD Update. Reportable STDs in Arizona (all within 5 working days) STD reporting forms available at:

Maricopa County STD Update. Reportable STDs in Arizona (all within 5 working days) STD reporting forms available at:
STDs. Chlamydia—Rates by Sex, United States, 1990–2010 NOTE: As of January 2000, all 50 states and the District of Columbia have regulations that require.

STDs. Chlamydia—Rates by Sex, United States, 1990–2010 NOTE: As of January 2000, all 50 states and the District of Columbia have regulations that require.
Once Is Not Enough: Re-screening Sexually Transmitted Disease (STD) Clinic Patients in Six Months to Detect New STDs Once Is Not Enough: Re-screening Sexually.

Once Is Not Enough: Re-screening Sexually Transmitted Disease (STD) Clinic Patients in Six Months to Detect New STDs Once Is Not Enough: Re-screening Sexually.
Sexually Transmitted Disease Surveillance 2013 Division of STD Prevention.

Sexually Transmitted Disease Surveillance 2013 Division of STD Prevention.
Chlamydia Sexually Transmitted Disease Surveillance 2000 Division of STD Prevention.

Chlamydia Sexually Transmitted Disease Surveillance 2000 Division of STD Prevention.
Curable versus incurable STDs. Objectives To describe the natural history and epidemiology of two curable STDs (i.e. syphilis and chlamydia) and two non-

Curable versus incurable STDs. Objectives To describe the natural history and epidemiology of two curable STDs (i.e. syphilis and chlamydia) and two non-
Laboratory Surveillance of Sexually Transmitted Disease LA County Dept. of Health Services Sexually Transmitted Disease Program Laboratory Surveillance.

Laboratory Surveillance of Sexually Transmitted Disease LA County Dept. of Health Services Sexually Transmitted Disease Program Laboratory Surveillance.
STD Surveillance 2001 Adapted from CDC by Jill Gallin, CPNP Assistant Professor of Clinical Nursing.

STD Surveillance 2001 Adapted from CDC by Jill Gallin, CPNP Assistant Professor of Clinical Nursing.
RVIPP Regional Meeting June 23-26, 2009 Indiana State Report

RVIPP Regional Meeting June 23-26, 2009 Indiana State Report

Similar presentations

Ads by Google