Development of clinical models for the management of patients with sexually transmitted infections in order to optimize the delivery of specialized medical care to dermatovenereological patients

Background. The development of clinical models for managing patients with suspected sexually transmitted infections (STIs) allows to individualize patient management depending on the clinical situation and improve the quality of care. Objective. To optimize the delivery of specialized medical care to dermatovenereological patients by developing patient management models. Material and methods. The study object — 390 outpatient medical records of patients with STIs (N. gonorrhoeae, C. trachomatis, M. genitalium and T. vaginalis) identified in the Moscow Scientific and Practical Center of Dermatovenereology and Cosmetology (MSPCDC) for the 2020—2022 period. Laboratory test was carried out using conventional methods (microscopy, culture) and multiplex real-time PCR. Results. When analyzing the results of a retrospective examination of 390 patients, 3 streams of persons seeking medical care were identified: patients with urogenital symptoms, asymptomatic patients with STI risk factors and patients after completion of STI treatment. Considering the identified streams, 5 patient management models were developed (with manifesting STIs, with asymptomatic course and presence of risk factors for STI infection even after treatment), with division of groups into men and women, since the management of persons of different sexes varies. Conclusion. The analysis of the practice of providing specialized medical care to patients with STIs indicates the need to optimize the volume, staging and sequence of management of patients seeking STI testing.