1492. Chlamydia, Gonorrhea, Syphilis and HIV Screening among Men Presenting with STI-related Complaints at a Community Based Emergency Department in Columbus, Ohio: A 5-year Retrospective Study.
Session: Poster Abstract Session: Sexually Transmitted Infections
Friday, October 5, 2018
Room: S Poster Hall
Posters
  • FINAL COPY STI POSTER FOR PRINTING.pdf (272.4 kB)
  • Background:

    Sexually transmitted infections (STIs) disproportionally affect individuals living in poor and underserved areas of the US. Emergency Departments (ED) are often the only point of health-care access for these at-risk individuals. As such, the ED often serves a key role in STI screening. The purpose of this study is to review STI screening practices for men at an urban and community based ED affiliated with a large academic medical center in Columbus, Ohio.

    Methods:

    Retrospective review of all ED visits from January 2012 to December 2017. A total of 279,929 patient-visits were analyzed for male patients by 1) exposure to an STI 2) STI-related symptoms (penile discharge/pain, scrotal/testicular pain/swelling). We analyzed the demographic characteristics of men who presented to the ED with an STI-related complaint and compared those who underwent STI screening (chlamydia, gonorrhea, syphilis or HIV) to those that did not.

    Results:

    TABLE 1

    Men with STI related chief complaints (n=3281)

    Any STI testing done 2274 (69.4%)

    No STI testing done

    1003 (30.6%)

    Race

    · Black

    · White

    · Other

    2112 (92.8%)

    809 (80.6%)

    109 (4.7%)

    138 (13.7%)

    53 (2.3%)

    56 (5.5%)

    Median age (IQR)

    30 (23-44)

    27 (23-36)

    Presenting Complaint

    · Males exposed to STI 1459 (14.9%)

    · Males with symptoms 1809 (20.9%)

    1120 (76.8%)

    339 (23.2%)

    1154 (63.8%)

    655 (36.2%)

    TESTING DONE (n=2274)

    Chlamydia

    2269 (99.7%)

    Gonorrhea

    2267(99.6%)

    Syphilis

    33 (1.4%)

    HIV

    1 (<0.1%)

    Conclusion:

    Over a five-year period, screening for chlamydia, gonorrhea for men presenting with STI-related complaints was adequate. However, syphilis and HIV screening was very low among men presenting to an urban and community-based ED with an STI-related complaint. A separate analysis for women is being done. There is an urgent need to identify and eliminate barriers to syphilis and HIV screening in ED’s that serve at-risk populations.

    Philip Goldstein, MD1, Ashley Buffomante, MD2, Cory Hussain, MBBS3, Jose Bazan, D.O.4, Kushal Namdam, MD2, Julie Combs, DNP2, Carol Petke, CNP2, Susan Koletar, M.D., FIDSA5, Michael Dick, MD2 and Carlos Malvestutto, MD2, (1)Division of Infectious Disease, The Ohio State University Wexner Medical Center, Columbus, OH, (2)Ohio State University Medical Center, Columbus, OH, (3)Department of Internal Medicine, Division of Infectious Diseases, The Ohio State University Wexner Medical Center, Columbus, OH, (4)The Ohio State University College of Medicine, Columbus, OH, (5)Division of Infectious Diseases, The Ohio State University College of Medicine, Columbus, OH

    Disclosures:

    P. Goldstein, None

    A. Buffomante, None

    C. Hussain, None

    J. Bazan, None

    K. Namdam, None

    J. Combs, None

    C. Petke, None

    S. Koletar, None

    M. Dick, None

    C. Malvestutto, None

    Findings in the abstracts are embargoed until 12:01 a.m. PDT, Wednesday Oct. 3rd with the exception of research findings presented at the IDWeek press conferences.