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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Pediatric residents' knowledge, use, and comfort with expedited partner therapy for STIs
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Pediatric residents' knowledge, use, and comfort with expedited partner therapy for STIs

机译：小儿居民对性传播感染的快速伴侣疗法的知识，使用和舒适度

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OBJECTIVE: We examined California pediatric residents' knowledge, practices, and comfort of providing expedited partner therapy (EPT) for sexually transmitted infections, by postgraduate year of training and presence of an adolescent medicine fellowship. We hypothesized that few residents are aware of EPT, and fewer are comfortable providing it; knowledge, practices, and comfort increase during residency; and presence of an adolescent medicine fellowship increases knowledge, practices, and comfort. METHODS: Online anonymous questionnaires were completed by pediatric residents from 14 California programs. RESULTS: Two hundred eighty-nine pediatric residents (41% response; mean age, 29.4 ± 2.7 years; 78% female) responded. Twenty-two percent reported being moderately or very familiar with EPT. Most correctly identified several EPT methods. Incorrectly identified as EPT included patient (55%), health department (42%), and provider (37%) referrals. Only 8% were aware of California's legal status regarding EPT. Sixty-nine percent knew that California law allows EPT for chlamydia and gonorrhea, but 38% incorrectly stated that EPT can be used to treat trichomoniasis. Fifty-two percent reported ever providing EPT, but 30% of them were uncomfortable doing so. Postgraduate year 1 residents were significantly more likely to report lack of experience as a barrier to prescribing EPT. Residents in programs with the presence of an adolescent medicine fellowship had significantly higher global knowledge scores and were more likely to practice EPT with fewer concerns. CONCLUSIONS: California pediatric residents have knowledge gaps and discomfort providing EPT, and the presence of adolescent medicine fellowship is associated with increased EPT knowledge, use, and comfort among residents. Our findings demonstrate a need to improve EPT education in pediatric residencies.
机译：目的：通过研究生阶段的培训和青少年医学研究金的存在，我们研究了加利福尼亚儿童居民对性传播感染提供快速伴侣治疗（EPT）的知识，做法和舒适性。我们假设几乎没有居民了解EPT，并且很少有人愿意提供EPT。居住期间知识，实践和舒适感增加;青少年医学研究金的存在增加了知识，实践和舒适感。方法：在线匿名调查表由来自加利福尼亚州14个项目的小儿科居民填写。结果：289名儿科住院患者（41％应答;平均年龄29.4±2.7岁; 78％是女性）应答。 22％的人报告对EPT有中等或非常熟悉的感觉。最正确地确定了几种EPT方法。被误认为是EPT的包括患者（55％），卫生部门（42％）和提供者（37％）的转诊。只有8％的人知道加利福尼亚州有关EPT的法律地位。 69％的人知道加州法律允许EPT用于衣原体和淋病，但38％的人错误地指出EPT可用于治疗滴虫。 52％的人报告曾经提供过EPT，但其中30％的人感到不舒服。研究生一年级的居民更有可能报告缺乏经验，这是开征EPT的障碍。拥有青少年医学研究金的项目中的居民的全球知识得分明显更高，并且更可能以较少的担忧练习EPT。结论：加利福尼亚州的小儿科居民在提供EPT方面存在知识鸿沟和不适感，而青少年医学研究金的存在与居民间EPT知识，使用和舒适度的提高有关。我们的发现表明，有必要改善小儿住院医师的EPT教育。

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