@article{ref1,
title="ROAR ED-SANE: a retrospective observational assessment review of an emergency department sexual assault nurse examiner program's adherence to Centers for Disease Control and Prevention guidelines for sexually transmitted infections",
journal="Sexually transmitted diseases",
year="2022",
author="Nelson, Jennifer M. and Woolever, Nathan and Meyer, Lisa and Hall, Scott and Stakston, Jaclyn and Dababneh, Ala and Roush, Kathleen and Van Sistine, Michael and Tempelis, Jennifer and Dierkhising, Ross A. and Lessard, Sarah",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND: Sexual assault survivors are at increased risk for sexually transmitted infections (STIs). Sexual Assault Nurse Examiner (SANE) programs guide STI treatment, monitoring, and follow-up scheduling according to guidelines by the Centers for Disease Control and Prevention (CDC). Reported low rates of provider adherence to CDC treatment guidelines and patient adherence to follow-up necessitates a review of medication prescribing and follow-up scheduling practices, especially at smaller community hospitals in the United States. <br><br>METHODS: A retrospective medical record review was conducted to assess adherence rates to CDC guidelines for prescribing practices, scheduling, and follow-up of sexual assault survivors. We included pediatric and adult patients presenting to the emergency department (ED) and participating in the ED-SANE program at a rural, community-based teaching hospital in La Crosse, WI from January 2018 through December 2021. Descriptive statistics were used to evaluate results. <br><br>RESULTS: Analysis included 103 patients. Prescribing adherence to CDC guidelines was >80% for all except Human Immunodeficiency Virus (HIV) (53.4%), trichomoniasis (68.1%), and hepatitis B (69%). Of the 38 patients who had a follow-up scheduled during their ED encounter, 78.9% attended their scheduled follow-up and 94.7% of those appointments were scheduled within the CDC recommended timeframe leading to an overall adherence of 40%. <br><br>CONCLUSIONS: Adherence rates were high for most prescribing practices and attendance of scheduled follow-up was higher than expected. Opportunities to improved adherence to CDC guidelines were identified in prescribing for 3 disease states (HIV, trichomoniasis, and hepatitis B) and in scheduling of follow-up.<p /> <p>Language: en</p>",
language="en",
issn="0148-5717",
doi="10.1097/OLQ.0000000000001745",
url="http://dx.doi.org/10.1097/OLQ.0000000000001745"
}