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University of Washington

1. Deardorff, Katrina Vallery. Evaluation of Zika Virus Testing Through the Washington State Department of Health.

Degree: 2017, University of Washington

Objectives We used Washington State Department of Health (DOH) Zika surveillance data from January 1 to October 31, 2016 to (1) describe the population of individuals for whom Zika testing was requested, (2) determine whether health care provider (HCP) disciplines differ in appropriate referral practices for Zika testing, and (3) determine whether HCP disciplines differ in referral of positive Zika patients for testing. Methods Descriptive analysis with t-test and Chi-squared test was used to evaluate whether patient characteristics and HCP discipline differed by public health test approval status and laboratory results. Logistic regression was used to calculate odds ratios of approved test referral and referral of positive Zika patients by HCP discipline. Results Obstetrician/Gynecologist (OBGYN) and General Practice disciplines bore the greatest burden of Zika testing requests. Patient age, sex, pregnancy and symptom status, and discipline of HCP that made the request differed significantly by public health test approval status and laboratory results. Compared with OBGYNs, General Practice and “Other” disciplines had elevated odds of referring patients for whom testing was not approved by public health, whereas Emergency and Internal Medicine disciplines had elevated odds of requesting testing for laboratory positive patients. Conclusions Given the potentially severe consequences of Zika infection to pregnant women, testing guidance in place during this study appropriately fostered disproportionate testing of asymptomatic pregnant females. However, asymptomatic pregnant women rarely test positive. This supports the recent Center for Disease Control and Prevention recommendation to limit routine testing of asymptomatic pregnant females. Advisors/Committee Members: Goldbaum, Gary (advisor).

Subjects/Keywords: public health practice; Zika; Epidemiology; Public health; Epidemiology

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6th Edition):

Deardorff, K. V. (2017). Evaluation of Zika Virus Testing Through the Washington State Department of Health. (Thesis). University of Washington. Retrieved from http://hdl.handle.net/1773/40571

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16th Edition):

Deardorff, Katrina Vallery. “Evaluation of Zika Virus Testing Through the Washington State Department of Health.” 2017. Thesis, University of Washington. Accessed November 17, 2017. http://hdl.handle.net/1773/40571.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7th Edition):

Deardorff, Katrina Vallery. “Evaluation of Zika Virus Testing Through the Washington State Department of Health.” 2017. Web. 17 Nov 2017.

Vancouver:

Deardorff KV. Evaluation of Zika Virus Testing Through the Washington State Department of Health. [Internet] [Thesis]. University of Washington; 2017. [cited 2017 Nov 17]. Available from: http://hdl.handle.net/1773/40571.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Deardorff KV. Evaluation of Zika Virus Testing Through the Washington State Department of Health. [Thesis]. University of Washington; 2017. Available from: http://hdl.handle.net/1773/40571

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

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