{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T05:06:17Z","timestamp":1789535177034,"version":"build-2803163510"},"reference-count":32,"publisher":"Ovid Technologies (Wolters Kluwer Health)","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\n Objectives:<\/jats:title>\n \n Sexually transmitted infections (STIs) are a public health concern for adolescents and young adults, with half of STIs diagnosed annually among 15 to 24-year-olds.\n Trichomonas vaginalis<\/jats:italic>\n is a high-prevalence STI, linked with increased risk for HIV and premature births.\n <\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n \n This was a planned, secondary analysis of a prospective pragmatic clinical effectiveness trial comparing targeted to universally-offered\n Neisseria gonorrhea<\/jats:italic>\n and\n Chlamydia trachomatis<\/jats:italic>\n (GC\/CT) screening. Patients aged 15 to 21 years old across 6 pediatric emergency departments (PEDs) completed tablet-based sexual health surveys. In the universally offered phase, clinician decision support (CDS) fired if participants requested GC\/CT testing. In the targeted phase, sexual health risks were stratified and providers were notified of at-risk and high-risk scores. Subsequent testing was per provider discretion. We compared Trichomonas testing rates and used multivariable logistic regression to test for effects of interest.\n <\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n There were 98,413 patients seen across 6 sites; 4191 patients (4.3%) were tested for Trichomonas, with 219 testing positive (5.2%). Patients with CDS firing had 8.1 (aOR, 95% CI: 7.2-9.2) times higher odds of being tested for Trichomonas. Those triggering CDS in the universally-offered phase had 2.4 times higher odds of being tested (aOR, 95% CI: 1.8-3.3) compared with those during the targeted phase. In the targeted testing phase, high-risk patients had higher odds of testing, compared with low-risk patients (aOR: 22.1, 95% CI: 13.9-37.4).<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n CDS alerts for GC\/CT testing were associated with higher Trichomonas testing rates. Using an integrated CDS screening tool may increase Trichomonas testing in the PED and should be expanded to identify these infections.<\/jats:p>\n <\/jats:sec>","DOI":"10.1097\/pec.0000000000003697","type":"journal-article","created":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T05:00:08Z","timestamp":1789534808000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["The Impact of Tablet-Based Screening on Trichomonas Testing in the Pediatric Emergency Department"],"prefix":"10.1097","author":[{"given":"Kristin S.","family":"Stukus","sequence":"first","affiliation":[{"name":"Nationwide Children\u2019s Hospital, Columbus, OH"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monika K.","family":"Goyal","sequence":"additional","affiliation":[{"name":"Children\u2019s National Hospital, Washington, DC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erin","family":"Augustine","sequence":"additional","affiliation":[{"name":"Lurie Children\u2019s Hospital, Chicago, IL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T. Charles","family":"Casper","sequence":"additional","affiliation":[{"name":"University of Utah School of Medicine, Salt Lake City, UT"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea T.","family":"Cruz","sequence":"additional","affiliation":[{"name":"Baylor College of Medicine, Houston, TX"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cara","family":"Elsholz","sequence":"additional","affiliation":[{"name":"University of Utah School of Medicine, Salt Lake City, UT"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chella","family":"Palmer","sequence":"additional","affiliation":[{"name":"University of Utah School of Medicine, Salt Lake City, UT"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle L.","family":"Pickett","sequence":"additional","affiliation":[{"name":"Medical College of Wisconsin, Milwaukee, WI"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah K.","family":"Schmidt","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital Colorado, Aurora, CO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer L.","family":"Reed","sequence":"additional","affiliation":[{"name":"Cincinnati Children\u2019s Hospital, Cincinnati, OH"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,9,16]]},"reference":[{"key":"R2-20260916","doi-asserted-by":"crossref","first-page":"698","DOI":"10.1086\/511278","article-title":"Infection with Trichomonas vaginalis increases the risk of HIV-1 acquisition","volume":"195","author":"McClelland","year":"2007","journal-title":"J Infect Dis"},{"key":"R3-20260916","first-page":"361","article-title":"Adolescents who use the emergency department as their usual source of care","volume":"154","author":"Wilson","year":"2000","journal-title":"JAMA Peds"},{"key":"R4-20260916","doi-asserted-by":"crossref","first-page":"e2021051893","DOI":"10.1542\/peds.2021-051893","article-title":"Annual STI Testing among sexually active adolescents","volume":"149","author":"Liddon","year":"2022","journal-title":"Pediatrics"},{"key":"R5-20260916","doi-asserted-by":"crossref","first-page":"987","DOI":"10.1542\/peds.101.6.987","article-title":"Emergency department utilization by adolescents in the United States","volume":"101","author":"Ziv","year":"1998","journal-title":"Pediatrics"},{"key":"R6-20260916","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1016\/j.jpeds.2016.12.045","article-title":"A computerized sexual health survey improves testing for sexually transmitted infection in a Pediatric Emergency Department","volume":"183","author":"Goyal","year":"2017","journal-title":"J Pediatr"},{"key":"R7-20260916","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1016\/j.jpeds.2016.01.019","article-title":"Universal screening for sexually transmitted infections among asymptomatic adolescents in an urban emergency department: high acceptance but low prevalence of infection","volume":"171","author":"Goyal","year":"2016","journal-title":"J Pediatr"},{"key":"R8-20260916","doi-asserted-by":"crossref","first-page":"1343","DOI":"10.1001\/jamapediatrics.2025.2139","article-title":"Gonorrhea and chlamydia screening for adolescents and young adults in emergency departments","volume":"179","author":"Reed","year":"2025","journal-title":"JAMA Pediatr"},{"key":"R9-20260916","doi-asserted-by":"crossref","first-page":"206","DOI":"10.1007\/s10916-020-01670-y","article-title":"Workflow analysis driven recommendations for integration of electronically-enhanced sexually transmitted infection screening tools in pediatric emergency departments","volume":"44","author":"Howe","year":"2020","journal-title":"J Med Syst"},{"key":"R10-20260916","doi-asserted-by":"crossref","first-page":"809","DOI":"10.1111\/acem.12994","article-title":"Development of a sexual health screening tool for adolescent emergency department patients","volume":"23","author":"Goyal","year":"2016","journal-title":"Acad Emerg Med"},{"key":"R11-20260916","doi-asserted-by":"crossref","first-page":"140","DOI":"10.1097\/pq9.0000000000000140","volume":"4","author":"Stukus","year":"2019","journal-title":"Pediatric Quality & Safety"},{"key":"R13-20260916","doi-asserted-by":"crossref","first-page":"e93","DOI":"10.1097\/OLQ.0000000000001013","article-title":"Prevalence of Trichomonas vaginalis among civilian, noninstitutionalized male and female population aged 14 to 59 years: United States, 2013 to 2016","volume":"46","author":"Flagg","year":"2019","journal-title":"Sex Transm Dis"},{"key":"R14-20260916","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1093\/cid\/ciy079","article-title":"Prevalence and correlates of Trichomonas vaginalis infection among men and women in the United States","volume":"67","author":"Patel","year":"2018","journal-title":"Clin Infect Dis"},{"key":"R15-20260916","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.jemermed.2021.07.053","article-title":"Trichomonas infection rates in males presenting to the emergency department for sexually transmitted infections","volume":"62","author":"Territo","year":"2022","journal-title":"J Emerg Med"},{"key":"R16-20260916","doi-asserted-by":"crossref","first-page":"232","DOI":"10.1097\/OLQ.0000000000001383","article-title":"Incidence and prevalence of Trichomonas vaginalis infection among persons aged 15 to 59 years: United States, 2018","volume":"48","author":"Lewis","year":"2021","journal-title":"Sex Transm Dis"},{"key":"R17-20260916","doi-asserted-by":"crossref","first-page":"3994","DOI":"10.1128\/JCM.00952-06","article-title":"Methods for detection of Trichomonas vaginalis in the male partners of infected women: implications for control of trichomoniasis","volume":"44","author":"Hobbs","year":"2006","journal-title":"J Clin Microbiol"},{"key":"R18-20260916","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1086\/511144","article-title":"Trichomonas vaginalis infection in male sexual partners: implications for diagnosis, treatment, and prevention","volume":"44","author":"Se\u00f1a","year":"2007","journal-title":"Clin Infect Dis"},{"key":"R19-20260916","doi-asserted-by":"crossref","first-page":"440","DOI":"10.1097\/OLQ.0b013e3181cfcd8c","article-title":"Trichomonas vaginalis prevalance, incidence, risk factors and antibiotic-resistance in an adolescent population","volume":"37","author":"Krashin","year":"2010","journal-title":"Sex Transm Dis"},{"key":"R20-20260916","doi-asserted-by":"crossref","first-page":"1277","DOI":"10.1097\/PEC.0b013e3182767d7c","article-title":"Sexually transmitted infection prevalence in symptomatic adolescent emergency department patients","volume":"28","author":"Goyal","year":"2012","journal-title":"Pediatr Emerg Care"},{"key":"R21-20260916","doi-asserted-by":"crossref","first-page":"2601","DOI":"10.1128\/JCM.00748-12","volume":"50","author":"Ginocchio","year":"2012","journal-title":"J Clin Microbiol"},{"key":"R22-20260916","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1136\/sextrans-2015-052010","article-title":"The incidence of Trichomonas vaginalis infection in women attending nine sexually transmitted diseases clinics in the USA","volume":"92","author":"Alcaide","year":"2016","journal-title":"Sex Transm Infect"},{"key":"R23-20260916","doi-asserted-by":"crossref","first-page":"1042","DOI":"10.1097\/PEC.0b013e318235e950","article-title":"Evaluation and management of sexually transmitted infections in adolescent males presenting to a pediatric emergency department: is the chief complaint diagnostic?","volume":"27","author":"Timm","year":"2011","journal-title":"Pediatr Emerg Care"},{"key":"R24-20260916","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1097\/PEC.0000000000000284","article-title":"Prevalence of 3 sexually transmitted infections in a pediatric emergency department","volume":"31","author":"Miller","year":"2015","journal-title":"Pediatr Emerg Care"},{"key":"R25-20260916","doi-asserted-by":"crossref","first-page":"763","DOI":"10.1111\/j.1553-2712.2011.01111.x","article-title":"Prevalence of Trichomonas vaginalis infection in symptomatic adolescent females presenting to a pediatric emergency department","volume":"18","author":"Goyal","year":"2011","journal-title":"Acad Emerg Med"},{"key":"R26-20260916","doi-asserted-by":"crossref","first-page":"e90548","DOI":"10.1371\/journal.pone.0090548","article-title":"Epidemiology of undiagnosed trichomoniasis in a probability sample of urban young adults","volume":"9","author":"Rogers","year":"2014","journal-title":"PLoS One"},{"key":"R27-20260916","doi-asserted-by":"crossref","first-page":"376","DOI":"10.1016\/j.annemergmed.2014.01.031","article-title":"Computerized self-interviews improve chlamydia and gonorrhea testing among youth in the emergency department","volume":"64","author":"Ahmad","year":"2014","journal-title":"Ann Emerg Med"},{"key":"R28-20260916","doi-asserted-by":"crossref","first-page":"e573","DOI":"10.1097\/PEC.0000000000001387","article-title":"Adolescent attitudes toward sexually transmitted infection screening in the emergency department","volume":"36","author":"Gearhart","year":"2020","journal-title":"Pediatr Emerg Care"},{"key":"R29-20260916","doi-asserted-by":"crossref","first-page":"e1164","DOI":"10.1097\/PEC.0000000000001947","article-title":"Attitudes toward electronic sexual health assessments among adolescents in the emergency department","volume":"37","author":"Langerman","year":"2021","journal-title":"Pediatr Emerg Care"},{"key":"R30-20260916","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1136\/emermed-2016-206199","article-title":"Characteristics of youth agreeing to electronic sexually transmitted infection risk assessment in the emergency department","volume":"35","author":"Ahmad","year":"2018","journal-title":"Emerg Med J"},{"key":"R31-20260916","doi-asserted-by":"crossref","first-page":"787","DOI":"10.1016\/j.annemergmed.2017.04.017","article-title":"A qualitative analysis of adolescent and caregiver acceptability of universally offered gonorrhea and chlamydia screening in the pediatric emergency department","volume":"70","author":"Reed","year":"2017","journal-title":"Ann Emerg Med"},{"key":"R32-20260916","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1016\/j.jadohealth.2020.01.026","article-title":"Information technology-assisted screening for gonorrhea and chlamydia in a pediatric emergency department","volume":"67","author":"Reed","year":"2020","journal-title":"J Adolesc Health"},{"key":"R33-20260916","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1097\/PEC.0000000000000322","article-title":"Screening adolescents for sexually transmitted infections in the pediatric emergency department","volume":"31","author":"Uppal","year":"2015","journal-title":"Pediatr Emerg Care"},{"issue":"suppl 2","key":"R34-20260916","doi-asserted-by":"crossref","first-page":"S152","DOI":"10.1093\/cid\/ciac030","volume":"72","author":"Kissinger","year":"2022","journal-title":"Clin Infect Dis"}],"container-title":["Pediatric Emergency Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.1097\/PEC.0000000000003697","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T05:00:13Z","timestamp":1789534813000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.1097\/PEC.0000000000003697"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,16]]},"references-count":32,"URL":"https:\/\/doi.org\/10.1097\/pec.0000000000003697","relation":{},"ISSN":["0749-5161","1535-1815"],"issn-type":[{"value":"0749-5161","type":"print"},{"value":"1535-1815","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,16]]},"assertion":[{"value":"2026-02-18","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-06","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}