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Nursing home acquired pneumonia (NHAP), and its subset - aspiration-associated pneumonia, is a leading cause of morbidity and mortality among residents in long-term care facilities (LTCFs). Understanding colonization dynamics of respiratory pathogens in LTCF residents is essential for effective infection control. This study examines the longitudinal trends in prevalence, persistence, bacterial load, and co-colonization patterns of five respiratory pathogens in three LTCFs in Phoenix, Arizona.
View Article and Find Full Text PDFAddressing STIs through managed care: opportunities in Medicaid and beyond.
Am J Manag Care
December 2024
Department of Health Policy and Management, George Washington University School of Public Health, 950 New Hampshire Ave NW, Washington, DC 20037. Email:
The US is facing a growing epidemic of sexually transmitted infections (STIs), with over 2.5 million cases of chlamydia, gonorrhea, and syphilis reported in 2021 and again in 2022. This public health crisis disproportionately affects youth and racial and ethnic minority communities, exacerbating barriers to accessing sexual health services.
View Article and Find Full Text PDFEvaluating the home-based intervention strategy (HIS-UK) to reduce new chlamydia infection among young men aged 16-25 years by promoting correct and consistent condom use: findings from a randomised controlled trial.
BMC Health Serv Res
December 2024
Brighton and Sussex Clinical Trials Unit, University of Sussex, Brighton, UK.
Background: Correct and consistent condom use is the most effective method to reduce transmission of sexually transmitted infections (STIs).
Objective: To compare the HIS-UK intervention to usual condom information and distribution care for effect on chlamydia test positivity.
Methods: Trial design A 3-parallel arm randomised controlled trial (1:1:1 allocation, two intervention arms vs.
Implementation and Evaluation of a Home-Based Pre-Exposure Prophylaxis Monitoring Option: Protocol for a Randomized Controlled Trial.
JMIR Res Protoc
September 2024
Department of Medicine, Division of Allergy & Infectious Disease, University of Washington, Seattle, WA, United States.
Background: HIV prevention is a public health priority. Despite progress in recent years, pre-exposure prophylaxis (PrEP) use remains suboptimal especially among groups disproportionately impacted by new HIV diagnoses such as gender and sexual minorities of color. Multiple barriers including a lack of PrEP providers and challenges with attending quarterly monitoring visits contribute to low PrEP uptake and retention.
View Article and Find Full Text PDFFeasibility and Acceptability of a Motivational Interviewing-Based Telehealth Intervention for Bacterial Sexually Transmitted Infection Screening: Protocol for a Sequential Explanatory Mixed Methods Study.
JMIR Res Protoc
August 2024
Michigan Innovations in Addiction Care through Research and Education Program, Department of Psychiatry, University of Michigan, Ann Arbor, MI, United States.
Article Synopsis
- - The study aims to explore a telehealth intervention combining motivational interviewing and home self-collection for STI screening, specifically targeting gay, bisexual, and other men who have sex with men living with HIV (GBMSM-LWH).
- - Participants will undergo a pretest MI-guided session, followed by self-collection of specimens (urine, throat and rectal swabs, and blood) for testing bacterial STIs like gonorrhea, chlamydia, and syphilis.
- - After testing, participants will have a posttest MI session to help them understand their results and create personalized action plans for future health management.
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