AimTo increase Chlamydia trachomatis screening in adolescents 15–19 years of age from 7.8% to 15% following a 6‐week implementation of universal chlamydia screening at three paediatric primary care (PPC) sites.MethodsPre‐implementation (1 January 2022–19 October 2022) and post‐implementation (20 October 2022–1 June 2023) screening rates were tracked through run charts and compared via Chi‐square testing. Universal opt‐out chlamydia screening with universal urine collection for 15‐ to 19‐year‐old was implemented at well visits, along with patient and staff education, and sexually transmitted infection treatment protocols.ResultsChlamydia trachomatis screening increased from 7.8% to 34.1% with implementation of universal opt‐out chlamydia screening. Proportions of patients screened increased significantly among White individuals, males and privately insured individuals.ConclusionsA universal C. trachomatis screening project can be feasibly implemented in pediatric primary care and successfully increase adolescent chlamydia screening rates.Implications for the ProfessionImplementing a universal opt‐out C. trachomatis screening project is feasible in PPC and can help achieve the public health goal of chlamydia identification and treatment.ImpactThese findings will be impactful for both paediatric primary care and adolescent patients. The universal, opt‐out C. trachomatis screening approach facilitated screening increases, improved equity in screening and led to increased case detection and treatment which has vast significance for those patients.Reporting MethodThis manuscript is submitted using the SQUIRE 2.0 guidelines for quality improvement reporting.Patient ContributionPatient contribution included de‐identified data collection of chlamydia screening rates of eligible adolescents 15–19 years old who attended routine well visits at the three PPC locations. The data were reviewed on a dashboard, then stratified by race, ethnicity, payor and sex assigned at birth.

中文翻译：

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儿科初级保健中的青少年衣原体筛查：一项质量改进项目


目的在三个儿科初级保健 （PPC） 站点实施为期 6 周的普遍衣原体筛查后，将 15-19 岁青少年的沙眼衣原体筛查从 7.8% 提高到 15%。方法实施前（2022 年 1 月 1 日至 2022 年 10 月 19 日）和实施后（2022 年 10 月 20 日至 2023 年 6 月 1 日）通过运行图跟踪筛查率，并通过卡方检验进行比较。在井访视中对 15 至 19 岁的青少年实施普遍选择退出衣原体筛查和普遍尿液采集，同时对患者和工作人员进行教育，以及性传播感染治疗方案。结果随着普遍选择退出衣原体筛查的实施，沙眼衣原体筛查从 7.8% 增加到 34.1%。在白人个体、男性和私人保险个体中，接受筛查的患者比例显著增加。结论在儿科基层医疗机构中可行实施普遍的沙眼衣原体筛查项目，成功提高青少年衣原体筛查率。对专业的影响实施普遍的选择退出沙眼衣原体筛查项目在 PPC 中是可行的，并且有助于实现衣原体识别和治疗的公共卫生目标。影响这些发现将对儿科初级保健和青少年患者产生影响。普遍的、选择退出的沙眼衣原体筛查方法促进了筛查的增加，提高了筛查的公平性，并导致病例检测和治疗的增加，这对这些患者具有重要意义。报告方法本稿件使用 SQUIRE 2.0 质量改进报告指南提交。患者贡献患者贡献包括对在三个 PPC 地点参加常规井访视的符合条件的 15-19 岁青少年的衣原体筛查率进行去识别化数据收集。数据在仪表板上进行审查，然后按种族、民族、付款人和出生时分配的性别进行分层。