ArticleSexually transmitted diseases2026
Assessing the Impact of an Sexually Transmitted Infections Nurse on the Delivery of Sexually Transmitted Infections/Human Immunodeficiency Virus Services in an Inner-City Emergency Department Using a Human Immunodeficiency Virus/Syphilis Point-of-Care Test During a Syphilis Outbreak in Alberta, Canada.
Article in Sexually transmitted diseases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Rapid/point-of-care syphilis testing in high-income countries: insights and implementation challenges from the authors' experience in Canada.Journal of clinical microbiology · 2026Review
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Authors and funding
13 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundA sexually transmitted infection (STI) nurse was embedded in an emergency department (ED) to support implementation of human immunodeficiency virus (HIV) and syphilis point-of-care testing (POCT).
methodsOutcomes were compared between two time periods: (1) routine care and (2) the introduction of HIV/syphilis treponemal POCT and an STI nurse. POCT and standard serology were offered to eligible people with HIV or syphilis as a differential diagnosis, who were at risk of loss to follow-up, or who were pregnant without prenatal screening. Testing volumes, rates of new diagnoses, and treatment initiation between the time periods were compared using Chi-square or Fisher exact tests for categorical variables and Mann-Whitney U test for continuous variables.
resultsA total of 2689 visits included HIV or syphilis testing, with serology more common in the postintervention period than in the preintervention period (HIV: 91.0% vs 81.4%, P < 0.001; syphilis: 86.4% vs 77.8%, P < 0.001). Rates of newly diagnosed syphilis increased slightly in the postintervention period (0.12% vs 0.09%; P = 0.07), with more same-visit syphilis treatment initiated in the postintervention period (54.1% vs 17.6%, P < 0.001). The number of newly diagnosed syphilis cases was 46.7% higher in STI registered nurse (RN) visits (n = 44) than ED Staff-only (n = 30), all new cases of HIV were found during STI RN visits, and POCT was ordered in 78.4% (n = 472) of the STI RN visits as compared with 15.6% (n = 178) of visits with ED staff-only ( P < 0.001).
conclusionsAn STI nurse in an urban ED contributed to the increased HIV and syphilis testing rates, and same-visit syphilis treatment initiation.
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