外科医生对性传播疾病的管理。
Management of sexually transmitted disease by surgeons.
作者信息
Hunt L M, Nash J R, Dilke-Wing G M
机构信息
Derbyshire Royal Infirmary, Derby.
出版信息
Ann R Coll Surg Engl. 1998 Sep;80(5):356-8.
The management of 63 patients diagnosed by surgeons as having sexually transmitted disease (STD) was audited. A diagnosis of STD was made in 51 (81%) of patients without taking a sexual history. Only 2 (3%) patients were referred to genitourinary medicine (GUM). Appropriate microbiological specimens were obtained from only two of 52 (4%) patients diagnosed with either pelvic inflammatory disease (PID) or epididymo-orchitis. Reliance was placed on inappropriate specimens in 22 (42%). There was widespread use of inappropriate antibiotics. The management of sexually transmitted disease by surgeons was very poor. These patients should all be referred to genito-urinary medicine.
对外科医生诊断为患有性传播疾病（STD）的63例患者的治疗情况进行了审计。在51例（81%）患者中，未询问性病史就做出了性传播疾病的诊断。只有2例（3%）患者被转诊至泌尿生殖医学科（GUM）。在诊断为盆腔炎（PID）或附睾炎的52例患者中，仅2例（4%）获取了适当的微生物标本。22例（42%）患者所依赖的标本不合适。不适当的抗生素被广泛使用。外科医生对性传播疾病的治疗情况非常糟糕。所有这些患者都应转诊至泌尿生殖医学科。
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