Poor provider adherence to the Centers for Disease Control and Prevention treatment guidelines in US emergency department visits with a diagnosis of pelvic inflammatory disease.


BACKGROUND:Pelvic inflammatory disease (PID) is commonly diagnosed in US emergency departments (EDs). We aimed to estimate national rates of provider adherence to the Centers for Disease Control and Prevention (CDC) treatment guidelines for PID among patient visits, with a diagnosis of acute PID in US ED settings. METHODS:A multiyear cross-sectional analysis was performed on ED visits from females >12 years old, using the National Hospital Ambulatory Medical Care Survey database from 1999 to 2006. The ED diagnoses of acute PID were identified from the database. Specific antibiotics ordered or provided during ED visits diagnosed with PID were identified and compared to contemporary CDC treatment guidelines to determine provider adherence. Analyses were performed using procedures for multiple-stage survey data. RESULTS:Overall, 1,605,000 discharged ED patient visits with a diagnosis of acute PID were identified. ED provider adherence to CDC treatment guidelines was 30.5% (95% confidence intervals [CI], 24.4%-36.7%). Doxycycline was the most commonly missing medication from the recommended regimens while azithromycin was the most prescribed antibiotic that was not recommended until 2006 CDC guidelines. Additionally, among the visits without being given any CDC-recommended antibiotics, 38.4% were prescribed neither antibiotics nor pain relievers. In multivariate analysis, those without specialty consultation during ED visits and those before the announcement of 2002 guidelines were 4.95 (95% CI, 1.71-14.29) and 1.93 (95% CI, 1.14-3.27) times less likely to receive CDC-recommended antibiotic regimens versus their counterparts. CONCLUSIONS:Poor provider adherence to the CDC-recommended treatment guidelines for PID has been widespread in US EDs, especially for women who did not receive specialty consultation.


Sex Transm Dis


Shih TY,Gaydos CA,Rothman RE,Hsieh YH




Has Abstract


2011-04-01 00:00:00












  • Biomarkers of cervicovaginal inflammation for the assessment of microbicide safety.

    abstract::The human cervicovaginal mucosa is the primary target of HIV-1 infection during male to female transmission. This tissue contains the the full spectrum of cell types and immune modulators that comprise both the innate and adaptive arms of the immune system. Mounting evidence indicates that mucosal epithelial cells are...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章,评审


    authors: Cummins JE Jr,Doncel GF

    更新日期:2009-03-01 00:00:00

  • Diagnostic considerations in intra-amniotic syphilis.

    abstract::Amniotic fluid is rarely used in the evaluation of syphilis during pregnancy but was available from a woman with positive serologic tests in the 30th week of gestation. Nonmotile intra-amniotic spirochetes were seen by dark-field microscopy 20 hr after treatment with benzathine penicillin G. The identity of the organi...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Glover DD,Winter CA,Charles D,Larsen B

    更新日期:1985-07-01 00:00:00

  • Understanding the Effects of Forced Sex on Sexually Transmitted Disease Acquisition and Sexually Transmitted Disease Care: Findings From the National Survey of Family Growth (2011-2013).

    abstract:BACKGROUND:Although there is evidence for heightened sexually transmitted disease (STD) acquisition among women who experienced sexual violence, little is known about their patterns of STD testing, STD diagnosis, and STD treatment. METHODS:Data was drawn from cycle eight of the National Survey of Family Growth (2011-2...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Brookmeyer KA,Beltran O,Abad N

    更新日期:2017-10-01 00:00:00

  • Detection of human papillomavirus DNA in the urogenital tracts of men with anogenital warts.

    abstract::Increasing evidence suggests that human papillomavirus (HPV) infection of the female anogenital tract is multifocal. Less is known of the distribution of HPVs in men. To investigate this, a prospective study was conducted of 116 men consecutively attending a clinic for ablative treatment of anogenital warts. Wart tiss...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Hillman RJ,Botcherby M,Ryait BK,Hanna N,Taylor-Robinson D

    更新日期:1993-01-01 00:00:00

  • Bacterial vaginosis among African American women who have sex with women.

    abstract:BACKGROUND:Bacterial vaginosis (BV) is a frequent cause of vaginal discharge that may be more common among women reporting sex with women (WSW). The objective of this study was to determine the prevalence of BV and predictors of infection among a sample of African American WSW. METHODS:African American WSW aged 18 yea...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Muzny CA,Sunesara IR,Austin EL,Mena LA,Schwebke JR

    更新日期:2013-09-01 00:00:00

  • Condom use to prevent incident STDs: the validity of self-reported condom use.

    abstract:BACKGROUND:Studies of sexual behavior and of interventions designed to reduce human immunodeficiency virus risk usually depend on self-report. Validation of self-reported condom use measures has not been previously reported in an urban population at high risk for sexually transmitted diseases and human immunodeficiency...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Zenilman JM,Weisman CS,Rompalo AM,Ellish N,Upchurch DM,Hook EW 3rd,Celentano D

    更新日期:1995-01-01 00:00:00

  • Predictors of condom use among patients with sexually transmitted diseases in Uganda.

    abstract:BACKGROUND AND OBJECTIVE:Patients with sexually transmitted diseases (STDs) are at an increased risk of HIV infection and they must be targeted for increased condom use. GOAL:To identify predictors of condom use among patients with STDs. STUDY DESIGN:In a cross-sectional survey, an interview-administered questionnair...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Nuwaha F,Faxelid E,Höjer B

    更新日期:1999-10-01 00:00:00

  • Failure of serosorting to protect African American men who have sex with men from HIV infection.

    abstract:BACKGROUND:Serosorting is the practice of choosing sex partners or selectively using condoms based on a sex partner's perceived HIV status. The extent to which serosorting protects African American (AA) and Hispanic men who have sex with men (MSM) is unknown. METHODS:We analyzed data collected from MSM sexually transm...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Golden MR,Dombrowski JC,Kerani RP,Stekler JD

    更新日期:2012-09-01 00:00:00

  • Factors associated with herpes simplex virus type 2 incidence in a cohort of human immunodeficiency virus type 1-seronegative Kenyan men and women reporting high-risk sexual behavior.

    abstract:BACKGROUND:Herpes simplex virus type 2 (HSV-2) is an important cause of genital ulcers and can increase the risk for human immunodeficiency virus type 1 (HIV-1) transmission. Our objective was to determine the incidence and correlates of HSV-2 infection in HIV-1-seronegative Kenyan men reporting high-risk sexual behavi...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Okuku HS,Sanders EJ,Nyiro J,Ngetsa C,Ohuma E,McClelland RS,Price MA,Graham SM

    更新日期:2011-09-01 00:00:00

  • Would targeting increase efficiency of syphilis partner services programs?--Data from New York City, Philadelphia, Texas, and Virginia.

    abstract:BACKGROUND:Targeted partner notification (PN), or limiting PN to groups in which efforts are most successful, has been suggested as a potentially cost-effective alternative to providing PN for all syphilis case-patients. The purpose of this study was to identify index case characteristics associated with highest yield ...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Hoots BE,Lewis FM,Anschuetz G,Schillinger JA,Blank S,Foskey T,Stover JA,Peterman TA

    更新日期:2014-06-01 00:00:00

  • Seroprevalence and risk factors for herpes simplex virus infection in a population of HIV-infected patients in Canada.

    abstract:OBJECTIVE:To determine the seroprevalence of herpes simplex virus infection in a population of HIV-infected individuals in Canada. METHODS:HIV-infected patients attending 5 infectious disease clinics for follow-up care were approached to participate in the study. After informed consent was obtained, subjects completed...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Romanowski B,Myziuk LN,Walmsley SL,Trottier S,Singh AE,Houston S,Joffe M,Chiu I

    更新日期:2009-03-01 00:00:00

  • Neighborhoods at risk: estimating risk of higher Neisseria gonorrhoeae incidence among women at the census tract level.

    abstract:BACKGROUND:The association between area-based social factors and sexually transmitted diseases has been demonstrated in numerous studies. Such associations have not previously been explored for their potential to quantify likelihood of higher transmission of gonorrhea in small geographic areas. METHODS:Aggregate censu...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章,多中心研究


    authors: Stenger MR,Samuel MC,Anschuetz GL,Pugsley R,Eaglin M,Klingler E,Reed M,Schumacher CM,Simon J,Weinstock H

    更新日期:2014-11-01 00:00:00

  • Metronidazole-Resistant Trichomoniasis: Beneficial Pharmacodynamic Relationship With High-Dose Oral Tinidazole and Vaginal Paromomycin Combination Therapy.

    abstract::Metronidazole-resistant trichomoniasis is an uncommon condition that presents significant therapeutic challenges. Combination therapy with high-dose oral tinidazole and vaginal paromomycin cream has been uniformly successful. We present a case report of a patient who responded to combination therapy with high-dose ora...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Henien M,Nyirjesy P,Smith K

    更新日期:2019-01-01 00:00:00

  • Trends in Chlamydia Screening, Test Positivity, and Treatment Among Females in California Juvenile Detention Facilities, 2003-2014.

    abstract:BACKGROUND:Juvenile detention facilities house adolescents at high risk for sexually transmitted diseases. Collaboration between health departments and juvenile detention authorities can provide routine, cost-efficient chlamydia screening and treatment to females with limited access to care. We describe trends in scree...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Burghardt NO,Chow JM,Steiner A,Bauer HM

    更新日期:2016-01-01 00:00:00

  • The Atlanta Urban Adolescent Network Study: a network view of STD prevalence.

    abstract:OBJECTIVES:To examine the epidemiology of multiple infections in teenagers and their contacts. GOAL:To demonstrate a network approach to the prevalence of STDs/HIV. STUDY DESIGN:A community-based network study of ethnographically representative adolescents. RESULTS:Of the 512 interviewees, 90% of the boys and 80% of...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Rothenberg R,Dan My Hoang T,Muth SQ,Crosby R

    更新日期:2007-08-01 00:00:00

  • Evidence-based planning of a randomized controlled trial on diaphragm use for prevention of sexually transmitted infections.

    abstract:OBJECTIVES:We conducted formative research to evaluate the acceptability and feasibility of continuous diaphragm use among low-income women highly exposed to sexually transmitted infections (STIs) in Madagascar. GOAL:To identify potential obstacles to researching the effectiveness of diaphragm use for STI prevention i...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Behets FM,Van Damme K,Turner AN,Rabenja NL,Ravelomanana NL,Raharinivo MS,Zeller KA,Rennie SM,Swezey TA

    更新日期:2008-03-01 00:00:00

  • Vaginal swabs are the optimal specimen for detection of genital Chlamydia trachomatis or Neisseria gonorrhoeae using the Cobas 4800 CT/NG test.

    abstract::Performance characteristics of the Cobas 4800 CT/NG assay were estimated for vaginal swab samples from more than 4000 women. Vaginal samples identified 92.9% and 98.5% of Chlamydia and Gonorrhea infections, respectively, which was more than any other single specimen type (endocervical swabs or urine) regardless of col...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章,多中心研究,随机对照试验


    authors: Van Der Pol B,Taylor SN,Liesenfeld O,Williams JA,Hook EW 3rd

    更新日期:2013-03-01 00:00:00

  • Missed and delayed syphilis treatment and partner elicitation: a comparison between STD clinic and non-STD clinic patients.

    abstract:BACKGROUND:Because of increases in reported syphilis, we sought to identify factors associated with missed and delayed syphilis treatment and partner elicitation interview. METHODS:We reviewed syphilis cases reported during June 1, 2006 to May 31, 2007 and conducted multivariate logistic regression analyses to determi...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Chen SY,Johnson M,Sunenshine R,England B,Komatsu K,Taylor M

    更新日期:2009-07-01 00:00:00

  • Sexual transmission behaviors and serodiscordant partnerships among HIV-positive men who have sex with men in Asia.

    abstract::We described sexual transmission behaviors and serodiscordant partnerships among an online sample of HIV-positive men who have sex with men (N = 416) in Asia. High rates of unprotected anal intercourse (74.8%), serodiscordant partnerships (68.5%), and unprotected sex within serodiscordant partnerships (∼60.0%) were re...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Wei C,Guadamuz TE,Lim SH,Koe S

    更新日期:2012-04-01 00:00:00

  • Proportion of Incident Human Immunodeficiency Virus Cases Among Men Who Have Sex With Men Attributable to Gonorrhea and Chlamydia: A Modeling Analysis.

    abstract:BACKGROUND:Sexually transmitted infections (STIs) are associated with an increased risk of human immunodeficiency virus (HIV) acquisition and transmission. We estimated the proportion of HIV incidence among men who have sex with men attributable to infection with the 2 most common bacterial STIs, Neisseria gonorrhoeae ...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Jones J,Weiss K,Mermin J,Dietz P,Rosenberg ES,Gift TL,Chesson H,Sullivan PS,Lyles C,Bernstein KT,Jenness SM

    更新日期:2019-06-01 00:00:00

  • HIV prevalence in patients with syphilis, United States.

    abstract:BACKGROUND:Among persons with a sexually transmitted disease (STD), the proportion who are also infected with HIV is a major factor influencing the public health impact of that STD on HIV transmission. GOAL:To assess HIV infection in persons with syphilis in the United States. STUDY DESIGN:A systematic literature rev...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章,评审


    authors: Blocker ME,Levine WC,St Louis ME

    更新日期:2000-01-01 00:00:00

  • Identifying opportunities for chlamydia screening among American Indian women.

    abstract::Medical record review was used to identify missed opportunities for chlamydia screening among 103 American Indian/Alaska Native women. Of these, 69% had received a pregnancy test and 74% had received a urine test in the previous 12 months. Chlamydia screening may increase if linked to the other routine clinical testin...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Taylor MM,Reilley B,Tulloch S,Winscott M,Dunnigan A,Russell M,Redd JT

    更新日期:2011-10-01 00:00:00

  • Susceptibility to vaccine-preventable diseases in a sexually transmitted disease clinic population.

    abstract:BACKGROUND AND OBJECTIVE:Sexually transmitted disease (STD) clinics often serve a population that has low medical care utilization. The objective of this study was to determine the susceptibility of an STD clinic population to vaccine-preventable diseases. STUDY DESIGN:A cross-sectional study of immunization practices...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Staat MA,Tang YL,Fresia AE,Halsey N,Kacergis J,Zenilman J

    更新日期:1998-08-01 00:00:00

  • Perianal Reactivation of Herpes Simplex Virus Type 2 After Laser-Assisted Hair Removal.

    abstract:ABSTRACT:We report a case of perianal reactivation of herpes simplex virus type 2 in a 27-year-old man, who was HIV positive with good immunovirological status, after a laser-assisted (alexandrite) hair removal session. We discuss the clinical and laboratory features and the role of prophylaxis with antivirals, particu...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Reis J,Santos FV

    更新日期:2021-02-01 00:00:00

  • Comparison of once-daily and twice-daily dosing of 0.75% metronidazole gel in the treatment of bacterial vaginosis.

    abstract:BACKGROUND AND OBJECTIVES:Bacterial vaginosis is the most common cause of vaginal symptoms in women and has potential complications. Efforts to improve treatment of this disease process are warranted. GOAL OF THIS STUDY:The goal of this study was to compare the safety and efficacy of once-daily intravaginal administra...

    journal_title:Sexually transmitted diseases

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验


    authors: Livengood CH 3rd,Soper DE,Sheehan KL,Fenner DE,Martens MG,Nelson AL,Ismail M,Thorp JM,Lappin M,Long BJ,Blackwelder T,Sweet RL,Sagov S

    更新日期:1999-03-01 00:00:00

  • Just text me! Texting sexually transmitted disease clients their test results in Florida, February 2012-January 2013.

    abstract:BACKGROUND:In response to increasing sexually transmitted diseases (STDs), diminishing resources, and delays in prompt treatment, the Florida STD Program began providing test results through text message in 2011. The aims of the evaluation of the first year of the project were to assess (1) client uptake and completion...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Rodriguez-Hart C,Gray I,Kampert K,White M,Wolfe C,Wilson M,Cooksey A

    更新日期:2015-03-01 00:00:00

  • Can we get people to participate in a study of sexual behavior?

    abstract:BACKGROUND AND OBJECTIVES:Interpreting the results of any study requires careful analysis to determine how selective participation may have influenced the findings. Participation in a study of sexual behavior may be influenced by who is doing the study, who the participants are, what it means to participate, what the s...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章,评审


    authors: Peterman TA

    更新日期:1995-05-01 00:00:00

  • Evaluation of opa-based real-time PCR for detection of Neisseria gonorrhoeae.

    abstract:OBJECTIVES:Detection of Neisseria gonorrhoeae by commercial and in-house-based assays has been hampered by false-positive and false-negative results. The current study describes a sensitive and specific real-time 5'-nuclease PCR assay targeting a 90-bp region of the multicopy opa gene. GOAL:To evaluate the sensitivity...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Tabrizi SN,Chen S,Tapsall J,Garland SM

    更新日期:2005-03-01 00:00:00

  • A simple new method to triangulate self-reported risk behavior data--the bean method.

    abstract:BACKGROUND:Human immunodeficiency virus (HIV)/sexually transmitted disease (STD)-related interventions rely on self-reported risk behavioral data, which are biased toward social desirability. It is warranted to develop methods for data triangulation. METHODS:Some questions on HIV/STD-related behaviors that were asked ...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Lau JT,Yeung NC,Mui LW,Tsui HY,Gu J

    更新日期:2011-09-01 00:00:00

  • Anorectal and Urogenital Mycoplasma genitalium in Nigerian Men Who Have Sex With Men and Transgender Women: Prevalence, Incidence, and Association With HIV.

    abstract::Among 413 Nigerian men who have sex with men and transgender women, retrospective testing for Mycoplasma genitalium revealed mostly asymptomatic infections of the anorectum (prevalence, 36.8%; incidence, 18.4 cases/100 person-years) and urogenital tract (12.4%, 4.0 cases/100 person-years). Risk factors included HIV an...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Crowell TA,Lawlor J,Lombardi K,Nowak RG,Hardick J,Odeyemi S,Kokogho A,Malia J,Stewart C,Robb ML,Baral SD,Adebajo S,Charurat ME,Ake JA,Peel SA,Gaydos CA,TRUST\/RV368 Study Group.

    更新日期:2020-03-01 00:00:00