STI Guideline Updates for Pediatric Hospitalists

PHM Session: 2021 Sexually Transmitted Infection (STI) Guideline Updates: What the Pediatric Hospitalist Needs to Know Presenters: Jason Zucker, MD, Columbia University, New York, and Candice McNeil, MD, MPH, Atrium Health Wake Forest Baptist, Winston-Salem, N.C. As the assistant director of the New York City STD/HIV Prevention Training Center and co-medical director of the Southeast STD/HIV Prevention Training Center, Drs. Zucker and McNeil shared their expertise on this ever-evolving topic. As of 2020, there were more than 2 million cases of chlamydia and gonorrhea, about 130,000 cases of syphilis, and a 235% increase in cases of congenital syphilis. Direct medical costs to treat these conditions, in addition to Human Immunodeficiency Virus (HIV), Hepatitis B, Herpes simplex Virus-2, and trichomoniasis are estimated to be $16 billion annually. While youth ages 15 to 24 comprise just 13% of the population, they account for 26% of sexually transmitted infection (STI) cases, and we know that approximately 65% of youth over the age of 18 are sexually active. The need for a high-quality sexual health history was emphasized and techniques were shared (see below). It was also noted that time pressure, specimen collection, and minor-consent concerns often prevent providers from screening appropriately for sexual health conditions. Most patients are comfortable self-swabbing and collect such samples faster and better than their medical providers. After this review, the audience was ...
Source: The Hospitalist - Category: Hospital Management Authors: Tags: Adolescent Medicine Clinical Guidelines Diagnostic Education HIV Lifestyle Pediatrics STIs Source Type: research