Hogben Matthew, St Lawrence Janet S, Kasprzyk Danuta, Montano Daniel E, Counts George W, McCree Donna H, Phillips William, Scharbo-DeHaan Marianne
Division of STD Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA.
Obstet Gynecol. 2002 Oct;100(4):801-7. doi: 10.1016/s0029-7844(02)02167-1.
To assess compliance with practice guidelines and to determine the extent of missed opportunities for sexually transmitted disease (STD) prevention by describing screening practices of a national sample of obstetricians and gynecologists and comparing them to the practices of other specialists.
Physicians (n = 7300) in five specialties that diagnose 85% of STDs in the United States were surveyed. Obstetrics and gynecology (n = 647) was one of the five specialties. Besides providing demographic and practice characteristics, respondents answered questions about who they screen (nonpregnant females, pregnant females) and for which bacterial STDs (syphilis, gonorrhea, chlamydia).
Responding obstetricians and gynecologists were most likely to be non-Hispanic white (75%), male (66%), and in their 40s (mode 43 years old). They saw an average of 90 patients per week during 47 hours of direct patient care. Approximately 95% practiced in private settings. Almost all (96%) screened some patients for at least one STD. Obstetricians and gynecologists screened women more frequently than other specialties, but no specialty screened all women or all pregnant women.
Obstetricians and gynecologists screen women for STDs at a higher rate than other specialties represented in this study. Consistent with published guidelines, most obstetricians and gynecologists in our survey screened pregnant women for chlamydia, gonorrhea, and syphilis. Nonetheless, only about half of obstetricians and gynecologists screened nonpregnant women for gonorrhea or chlamydia, and fewer screen nonpregnant women for syphilis.
通过描述全国范围内妇产科医生的筛查实践并与其他专科医生的实践进行比较，评估对实践指南的遵循情况，并确定性传播疾病（STD）预防中错失机会的程度。
对在美国诊断出85%性传播疾病的五个专科的医生（n = 7300）进行了调查。妇产科（n = 647）是五个专科之一。除了提供人口统计学和实践特征外，受访者还回答了关于他们筛查对象（非孕妇女性、孕妇女性）以及筛查哪些细菌性传播疾病（梅毒、淋病、衣原体）的问题。
做出回应的妇产科医生最有可能是非西班牙裔白人（75%）、男性（66%），年龄在40多岁（众数为43岁）。在47小时的直接患者护理期间，他们平均每周看90名患者。大约95%在私人诊所执业。几乎所有（96%）都为一些患者筛查了至少一种性传播疾病。妇产科医生比其他专科更频繁地筛查女性，但没有一个专科对所有女性或所有孕妇进行筛查。
与本研究中的其他专科相比，妇产科医生对女性进行性传播疾病筛查的比例更高。与已发表的指南一致，我们调查中的大多数妇产科医生对孕妇进行衣原体、淋病和梅毒筛查。尽管如此，只有约一半的妇产科医生对非孕妇进行淋病或衣原体筛查，对非孕妇进行梅毒筛查的更少。
