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Integrating clinical decision support to increase HIV and chlamydia screening

机译:整合临床决策支持以增加对HIV和衣原体的筛查

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Routine HIV screening for adolescents and adults is recommended for early detection of HIV/AIDS. Persons aged 13-64 should receive at least one routine HIV screening, with repeat testing based on clinical judgment (Centers for Disease Control and Prevention, 2006). Early detection of HIV can improve patient health, increase linkages to care, and slow the rate of transmission as risk behaviors are modified and reduced (Marks et al., 2005; US Preventive Services Task Force, 2013). Chlamydia infection is the most commonly reported notifiable disease in the United States. Since 1994, it has represented the largest proportion of all reported STDs, and has the highest burden of disease among persons aged <25 (Centers for Disease Control and Prevention, 2012). Annual chlamydia trachomatis (CT) screening among young sexually active women is recommended to avert possible sequelae, including pelvic inflammatory disease (PID), ectopic pregnancy and infertility (Centers for Disease Control and Prevention, 2010; Meyers et al., 2008). There is no recommendation for routine chlamydia screening of women 26 years of age or older, absent of risk (Centers for Disease Control and Prevention, 2010; Meyers et al., 2008).
机译:建议对青少年和成人进行常规HIV筛查,以早期发现HIV / AIDS。 13-64岁的人群应至少接受一次常规HIV筛查,并根据临床判断进行重复检测(疾病控制与预防中心,2006年)。早期发现艾滋病毒可以改善患者的健康状况,增加与医疗机构的联系,并随着风险行为的改变和减少而减慢传播速度(Marks等,2005; US Preventive Services Task Force,2013)。衣原体感染是美国最常报告的疾病。自1994年以来,它在所有报告的性传播疾病中占最大比例,在25岁以下的人群中疾病负担最高(疾病控制与预防中心,2012年)。建议每年在性活跃的年轻女性中进行沙眼衣原体(CT)筛查,以避免可能的后遗症,包括盆腔炎(PID),异位妊娠和不育(Centers for Disease Control and Prevention,2010; Meyers等,2008)。没有建议对没有风险的26岁以上女性进行常规衣原体筛查(疾病控制与预防中心,2010; Meyers等,2008)。

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