I am needing to write a protocol for STD testing that I do for the children I see at our CAC. I was wondering if anyone had a protocol that I could look at and possibly use as a template for my own protocol. Any information would be greatly appreciated. Thank you in advance.
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I understand some programs only perform GC urine screens. However, it is with some discussion that testing for all STI(as in adults) should be considered. The research has shown that many times kids do not disclose everything. As well, with the neurobiology of trauma, they may not recall all events of the assault. I do know of someone presently doing this particular research - if all testing should indeed be considered in pediatrics regardless if it's acute or non-acute. I have had some with only a Positive rectal (or pharyngeal) STI finding, yet the urine screen was negative. So I personal feel a GC urine only is not sufficient. At our CAC we do all screening if the child/adolescent will allow. If not, specifically blood studies, we advise the parent that the next time the patient needs some testing performed at their pcp's office, perhaps they could have them done at the same time. And of course, your pediatric medical director may have some standards in place.
Well what I ahve is an adult protocol. So, I can not post this for you as it is adult. Whoever is your medical director over the Peds program should have a set of standards they function by when seeing an acute vs a non acute child. Start there: what test do they order and when is the recheck for the acute. ...testing is done before medications in Peds (this will be your order sheet). The your procedure can be written.
I will look for the one I had at the BSCC. Give me a day or two.
I would be interested in this also. Thanks