BMC MAT Quick Start vs Syphilis Tools

This app offers healthcare providers the latest evidence-based guidance for treating opioid and alcohol use disorders (OUD and AUD) assisting in the initiation of medications such as buprenorphine and naltrexone. This is an essential tool for those starting patients on these medications, providing step-by-step clinical decision trees and valuable resources for managing not only AUD and OUD but acute and chronic pain for patients already on buprenorphine or naltrexone. With interactive tools, treatment protocols, and patient messaging features, this app empowers clinicians to deliver life-saving care while improving while improving treatment outcomes for substance use disorders. More than 46 million people aged 12 or older (or 16.5% of the US population) met the DSM-5 criteria for having a substance use disorder (SUD) in the past year based on the latest data from the 2021 National Survey on Drug Use and Health (NSDUH). However, only about 6% of people received any treatment for their SUD. Providing addiction treatment, including the use of FDA- approved medications and behavioral health therapies, has been shown to save lives and increase retention in treatment. The interactive clinical algorithms in this app walk you through each step of the clinical decision- making process to help you care for patients with an OUD or AUD. The clinical algorithms are also available in PDF format for easy viewing along with ability to securely text message patient tools to get started on buprenorphine. Additionally, several other clinical tools and resources related to SUD are included. BMC MAT QUICK START FEATURES: CLINICAL ALGORITHMS * Buprenorphine Initiation Guide: Decision trees for starting patients with an opioid use disorder on buprenorphine who are not currently physically dependent on opioids, opioid-dependent and not yet in withdrawal, and opioid-dependent and in active withdrawal. * Initiation of Extended-Release Injectable Buprenorphine: Guidance for starting a patient on new weekly and monthly formation formulations of extended-release injectable buprenorphine. * Naltrexone Initiation for Alcohol Use Disorder: Guidance for starting a patient on naltrexone for the treatment of alcohol use disorder. * Naltrexone Initiation for Opioid Use Disorder: Guidance for starting a patient on naltrexone for the treatment of opioid use disorder. Includes strategies for managing opioid withdrawal during the required “washout period” prior to starting naltrexone and avoiding precipitated withdrawal. * Pain Management While on Buprenorphine for Opioid Use Disorder: Guidance for managing acute and chronic pain in patients already on buprenorphine for opioid use disorder. * Pain Management While on Naltrexone: Guidance for managing acute pain (both anticipated and unanticipated) and chronic pain in patients already on naltrexone for opioid use disorder. * New! List of medication classes to assist in the management of opioid withdrawal symptoms. CLINICAL TOOLS * DSM-5 criteria for diagnosis of an opioid use disorder * Clinical Opiate Withdrawal Scale (COWS) to measure the severity of opioid withdrawal * Alcohol Use Disorders Identification Test (AUDIT-C) to identify risky drinking patterns PATIENT HANDOUTS * Buprenorphine Initiation Guide: A guide to give to patients who are starting buprenorphine in the home or community setting. Note: This app is designed exclusively for the use of healthcare providers. This app is not intended for use to diagnose a disease or to cure, mitigate, treat, or prevent any condition or disease. It is the responsibility of the treating clinician to rely on their own experience and knowledge about their specific patient to determine dosages and the best treatment for that patient.

The Syphilis Tools application is designed to give health care professionals, public health workers, and medical trainees relevant information and tools to help diagnose, treat, and prevent syphilis. Content is based on CDC STI Treatment Guidelines. It was developed for the National STD Curriculum (NSTDC) by the University of Washington Infectious Diseases Education & Assessment (IDEA) Program. The application addresses six primary areas: Screening: Information on screening recommendations for various patient populations. The Geographic Risk Tool allows users to quickly find county-level rates of primary and secondary syphilis in the United States and view syphilis screening recommendations. Serologic Testing: Users learn about the variety of tests and how to choose the appropriate test to order; interpret serologic tests results; and test cerebrospinal fluid. Reference materials for interpreting traditional and reverse syphilis screening algorithms are available. To help explain syphilis in a person with prior treatment, the Nontreponemal Titer Tool compares pretreatment and current treatment RPR or VDRL titers and interprets the results. Staging: Clinical criteria for understanding primary, secondary, latent, and tertiary syphilis and how to stage a patient. To help identify different manifestations, scientifically accurate medical illustrations are embedded in various sections. Treatment: Educational summaries of guideline-based medication regimens to treat stages and types of syphilis. How to treat individuals who are penicillin-allergic and/or pregnant are also addressed. Users can select multiple stages and types to explore the potential impacts on possible treatment regimens. Monitoring: Reference information on evaluating serologic response and titer changes. Users can select RPR or VDRL titers and review possible test interpretations via the Nontreponemal Titer Tool. Partner Management: Educational materials and guidance regarding the management of symptomatic and asymptomatic partners of persons diagnosed with syphilis. Features: • Content based directly on CDC STI Treatment Guidelines • Offline accessibility for use in environments without internet connection • Plain-text summaries and reference materials • Tools to help determine county-base geographic risk and compare changes in titers before and during treatment The application links to the National Network of STD Clinical Consultation Service which provides consultations for licensed healthcare professionals and STD program staff. ############### Medical Disclaimer ############### Syphilis Tools is an educational reference for health care providers. It is not a substitute for professional medical advice. Any person using this app should seek the advice of a physician or other qualified health care provider in addition to using this app before making any medical decisions.