Emergency

Young women of 60% were diagnosed with sexually transmitted infections (STIs) in emergency department will fill prescriptions for antimicrobial therapy to treat these conditions, according to a research letter publish online May 28, 2019, by JAMA Pediatrics. Some STDs can spread through the use of unsterilized drug needles, from mother to infant during childbirth or breast-feeding, and blood transfusions.

The Infectious organisms

The genital areas are generally moist and warm environments, ideal for the growth of yeasts, viruses, and bacteria. People can transmit microorganisms that inhabit the skin or mucous membranes of the genitals. Infectious organisms can also move between people in semen, vaginal secretions, or blood during sexual intercourse.

Individuals pass on STDs more easily when they are not using contraceptive devices, such as condoms, dams, and sanitizing sex toys. Some infections can transmit through sexual contact but are not class as STDs. For example, meningitis can be pass on during sexual contact; but people can acquire a meningitis infection for other reasons. It is therefore not class as an STD.

Adolescents make up nearly half of the people diagnose with sexually transmission infections each year. According to the Centers for Disease Control and Prevention, untreated sexually transmit diseases in women can cause pelvic inflammatory disease (PID), an infection of the reproductive organs that can complicate getting pregnant in the future.

Division of Emergency Medicine

They were astonish to find that teenagers’ rates of filling STI prescriptions were so low,” says Monika K. Goyal, M.D., MSCE, assistant chief of Children’s Division of Emergency Medicine and Trauma Services and the study’s senior author. Our findings demonstrate the imperative need to identify innovative methods to improve treatment adherence for this high risk population.

The retrospective cohort study, conduct at two emergency departments affiliate with a large, urban, tertiary care children’s hospital, enroll adolescents aged 13 to 19 who are prescribe antimicrobial treatment from Jan. 1, 2016, to Dec. 31, 2017, after being diagnose with PID or testing positive for chlamydia. Of 696 emergency department visits for diagnose STIs, 208 teenagers receive outpatient prescriptions for antimicrobial treatments. Only 54.1% of those prescriptions were fill.

Teenagers may face a number of hurdles when it comes to STI treatment, including out-of-pocket cost, access to transportation and confidentiality concerns,” Dr. Goyal adds. Future studies will attempt to identify barriers to filling prescriptions in order to inform development of target interventions; so base in the emergency department that promote adherence to STI treatment.