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全科医疗中的性健康:从业者是否遵循性传播感染中关于疑似衣原体感染管理的指南?

Sexual health in general practice: do practitioners comply with the sexually transmitted infections guidelines for management of suspected chlamydial infections?

作者信息

Bangor-Jones R D

机构信息

Department of Health, Public Health Division, Perth, Australia.

出版信息

Int J STD AIDS. 2011 Sep;22(9):523-4. doi: 10.1258/ijsa.2009.009298.

Abstract

Escalating notifications of chlamydia in Western Australia (WA) prompted an audit of the compliance of general practitioners (GPs) with the current guidelines for management. The audit consisted of a telephone survey of GPs known to have treated a case of chlamydia. GPs generally performed opportunistic screening well and complied with the guidelines for testing and treatment. Only 8% of GPs took a comprehensive sexual history from symptomatic cases, 53% routinely tested for blood-borne sexually transmitted infections and 29% recorded a discussion of partner notification in the medical records. The results of the audit form part of the review of the current edition of the guidelines, and will be noted in the plans for promotion and dissemination of the next edition.

摘要

西澳大利亚州(WA)衣原体感染报告数量不断增加,促使对全科医生(GPs)遵循当前管理指南的情况进行审计。该审计包括对已知治疗过衣原体感染病例的全科医生进行电话调查。全科医生通常能很好地进行机会性筛查,并遵循检测和治疗指南。只有8%的全科医生对有症状的病例进行了全面的性病史询问,53%的医生常规检测血源性性传播感染,29%的医生在病历中记录了关于性伴侣通知的讨论。审计结果是当前版指南审查的一部分,并将在下一版指南的推广和传播计划中予以注明。

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