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












  • Trichomonas vaginalis as a cause of urethritis in Malawian men.

    abstract:BACKGROUND AND OBJECTIVES:Trichomonas vaginalis is one of the most common sexually transmitted infections. In Malawi, rates of trichomoniasis in women are high. The prevalence of T. vaginalis infection in men is expected to be high but has not previously been documented. GOALS:We sought to determine the prevalence of ...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Hobbs MM,Kazembe P,Reed AW,Miller WC,Nkata E,Zimba D,Daly CC,Chakraborty H,Cohen MS,Hoffman I

    更新日期:1999-08-01 00:00:00

  • Relationship Gender Equality and Couples' Uptake of Oral Human Immunodeficiency Virus Self-Testing Kits Delivered by Pregnant Women in Kenya.

    abstract:BACKGROUND:Higher gender equality is associated with many human immunodeficiency virus (HIV) preventive behaviors, including HIV testing. HIV self-testing is a relatively new testing technology that could assist with HIV prevention. However, there are no studies examining gender equality and HIV self-testing. We examin...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章,随机对照试验


    authors: Vrana-Diaz CJ,Korte JE,Gebregziabher M,Richey L,Selassie A,Sweat M,Gichangi A

    更新日期:2019-09-01 00:00:00

  • Sexually transmitted infections and reproductive health in Azerbaijan.

    abstract:BACKGROUND:Little is known about the prevalence of sexually transmitted infections (STIs) and about sexual and reproductive health in Central and Eastern Europe. However, it is clear that major epidemics of STIs currently exist. GOAL:To provide baseline information for the development of national guidelines on the man...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Claeys P,Ismailov R,Rathe S,Jabbarova A,Claeys G,Fonck K,Temmerman M

    更新日期:2001-07-01 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

  • Profile of callers to the Centers for Disease Control and Prevention national sexually transmitted diseases hotline.

    abstract:BACKGROUND AND OBJECTIVES:The Centers for Disease Control and Prevention funds a national telephone hotline as a source of information for persons with questions about sexually transmitted diseases. Hotline callers were last surveyed in 1980. GOAL:To determine the current profile of callers to the Centers for Disease ...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Neumann MS

    更新日期:1996-03-01 00:00:00

  • Predictors of chronic pelvic pain in an urban population of women with symptoms and signs of pelvic inflammatory disease.

    abstract:OBJECTIVE:The objective of this study was to assess the risk profile for chronic pelvic pain (CPP) after pelvic inflammatory disease (PID). STUDY:Multivariate logistic regression was used to assess risk factors for CPP in a longitudinal study of 780 predominately black, urban women with clinically suspected PID: compl...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Haggerty CL,Peipert JF,Weitzen S,Hendrix SL,Holley RL,Nelson DB,Randall H,Soper DE,Wiesenfeld HC,Ness RB,PID Evaluation and Clinical Health (PEACH) Study Investigators.

    更新日期:2005-05-01 00:00:00

  • Screening for gonorrhea and chlamydia by DNA amplification in adolescents attending middle school health centers. Opportunity for early intervention.

    abstract:GOAL:To determine prevalence and incidence of Neisseria gonorrhoeae (GC) and Chlamydia trachomatis (CT) infection and assess risk factors predictive for such infections in a middle school-based clinic sample. STUDY DESIGN:170 female students and 43 male students making 256 and 47 visits, respectively, > or = 30 days a...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Burstein GR,Waterfield G,Joffe A,Zenilman JM,Quinn TC,Gaydos CA

    更新日期:1998-09-01 00:00:00

  • Critical Elements of Community Engagement to Address Disparities and Related Social Determinants of Health: The Centers of Disease Control and Prevention Community Approaches to Reducing Sexually Transmitted Disease Initiative.

    abstract:BACKGROUND:Community Approaches to Reducing Sexually Transmitted Disease (CARS), a unique initiative of the US Centers for Disease Control and Prevention, promotes the use of community engagement to increase sexually transmitted disease (STD) prevention, screening, and treatment and to address locally prioritized STD-r...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Rhodes SD,Daniel-Ulloa J,Wright SS,Mann-Jackson L,Johnson DB,Hayes NA,Valentine JA

    更新日期:2021-01-01 00:00:00

  • Time course of seroconversion by HerpeSelect ELISA after acquisition of genital herpes simplex virus type 1 (HSV-1) or HSV-2.

    abstract:BACKGROUND:HerpeSelect HSV-1 and HSV-2 ELISAs are glycoprotein G-based, type-specific antibody detection tests that are approved by the US Food and Drug Administration for diagnosis of genital herpes. GOAL:The goal was to determine seroconversion times by means of HerpeSelect ELISAs. STUDY DESIGN:Four-hundred thirtee...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Ashley-Morrow R,Krantz E,Wald A

    更新日期:2003-04-01 00:00:00

  • Human papillomavirus 16 integration and risk factors associated in anal samples of HIV-1 infected men.

    abstract:BACKGROUND:The integration of HPV-16 DNA into the host genome is considered an important event in the progression of premalignant cervical lesions to cervical cancer. The aim of our study was to assess the prevalence of HPV-16 integration in anal cytologic specimens of HIV-1 infected men and its association with risk f...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Cañadas MP,Darwich L,Sirera G,Bofill M,Piñol M,Garcia-Cuyas F,Llatjos M,Corbasi P,Clotet B,Videla S,HIV-HPV Can Ruti Study Group.

    更新日期:2010-05-01 00:00:00

  • High prevalence of sexual concurrency and concurrent unprotected anal intercourse across racial/ethnic groups among a national, Web-based study of men who have sex with men in the United States.

    abstract:BACKGROUND:Men who have sex with men (MSM) are the largest human immunodeficiency virus (HIV) risk group in the United States. Sexual concurrency may contribute to high HIV incidence or to racial/ethnic HIV disparities among MSM. Limited information is available on concurrency and racial/ethnic differences among MSM or...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Rosenberg ES,Khosropour CM,Sullivan PS

    更新日期:2012-10-01 00:00:00

  • Treatment of gonorrhea with single-dose thiamphenicol.

    abstract::This study was undertaken to determine the effectiveness of a single 2.5-g dose of thiamphenicol as therapy for gonococcal infection and to compare the results obtained in a limited group of male and female patients to those reported by other investigators. Diagnosis was determined by direct microscopy and culture. Cu...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Murat A,Oran M,Altinok T,Giz H

    更新日期:1984-10-01 00:00:00

  • Clinical and ophthalmologic characteristics of ocular syphilis in a retrospective tertiary hospital cohort.

    abstract:BACKGROUND:Data on ocular syphilis (OS) and its clinical presentation are currently insufficient. This study aimed to investigate the characteristics of a cohort with a high OS incidence at a university hospital in Germany, focusing on clinical presentation of OS. METHODS:This single-center cohort study retrospectivel...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Wagner LF,Lanzl I,Rothe K,Schneider J,Zink A,Zapp D,Schwerdtfeger C,Lee M,Weidlich S,Neuenhahn M,Loos D,Spinner CD

    更新日期:2020-11-04 00:00:00

  • CXCL13 as a cerebrospinal fluid marker for neurosyphilis in HIV-infected patients with syphilis.

    abstract:BACKGROUND:Asymptomatic neurosyphilis is more difficult to diagnose in human immunodeficiency virus (HIV)-infected patients because HIV itself can cause cerebrospinal fluid (CSF) pleocytosis. The proportion of CSF lymphocytes that are B cells is elevated in neurosyphilis, suggesting that the CSF concentration of the B ...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Marra CM,Tantalo LC,Sahi SK,Maxwell CL,Lukehart SA

    更新日期:2010-05-01 00:00:00

  • Outbreak of Neisseria gonorrhoeae in Northern Alberta, Canada.

    abstract:BACKGROUND:In January 2001 we investigated an outbreak of Neisseria gonorrhoeae in a northern region of Alberta, Canada, and here we report on the epidemiology of the outbreak. GOAL:The goal was to examine the outbreak etiology and make recommendations for strengthening regional STD programs. STUDY DESIGN:Provincial ...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: De P,Singh AE,Wong T,Yacoub W

    更新日期:2003-06-01 00:00:00

  • Prevalence and determinants of high-risk human papillomavirus infection in middle-aged Indian women.

    abstract:BACKGROUND:Little is known about the prevalence and determinants of human papillomavirus (HPV) infection in women from West India, although incidence of and mortality from cervical cancer is high. METHODS:Cervical specimens were collected, and questionnaires on lifestyle and reproductive factors were administered to 2...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Sauvaget C,Nene BM,Jayant K,Kelkar R,Malvi SG,Shastri SS,Sankaranarayanan R

    更新日期:2011-10-01 00:00:00

  • Developing a predictive model to prioritize human immunodeficiency virus partner notification in North Carolina.

    abstract:BACKGROUND:Disease intervention specialists (DIS) in North Carolina have less time to conduct partner notification because of competing responsibilities while simultaneously facing increased case loads because of increased human immunodeficiency virus (HIV) testing. We developed a model to predict undiagnosed HIV infec...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Hoots BE,MacDonald PD,Hightow-Weidman LB,Leone PA,Miller WC

    更新日期:2012-01-01 00:00:00

  • Incidence and predictors of human papillomavirus-6, -11, -16, and -18 infection in young norwegian women.

    abstract:BACKGROUND:Natural history data on human papillomavirus (HPV) incidence and its risk factors have not been reported on from young women in Norway. We report on incidence and predictors of HPV-6, 11, 16, and 18; 6 or 11; 16 or 18; or all 4. METHODS:A 48-month prospective study enrolled 898 women aged 16 to 24 between 1...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Kim S,Arduino JM,Roberts CC,Marsico M,Liaw KL,Skjeldestad FE

    更新日期:2011-07-01 00:00:00

  • Evaluation of 4 Algorithms to Identify Incident Syphilis Among HIV-Positive Men Who Have Sex With Men Engaged in Primary Care.

    abstract::We developed 4 algorithms for syphilis among HIV-positive men who have sex with men who engaged in primary care in 2016 to 2017. Clinician-based diagnosis from chart reviews was the gold standard. Sensitivities ranged from 74.2% to 93.9%. Specificities were greater than 99% with positive and negative predictive values...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Menza TW,Levine K,Grasso C,Mayer K

    更新日期:2019-04-01 00:00:00

  • Patient-delivered partner treatment and other partner management strategies for sexually transmitted diseases used by New York City healthcare providers.

    abstract:OBJECTIVES:The objectives of this study were to measure frequency and predictors of patient-delivered partner treatment (PDPT) and the frequency of other partner management strategies among New York City healthcare providers (HCPs) as well as to determine whether use of PDPT detracts from other partner management strat...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Rogers ME,Opdyke KM,Blank S,Schillinger JA

    更新日期:2007-02-01 00:00:00

  • Lack of evidence for intertypic recombinants in the pathogenesis of recurrent genital infections with herpes simplex virus type 1.

    abstract::Clinical observations indicate that herpes simplex virus type 1 (HSV-1) is significantly less likely than herpes simplex virus type 2 (HSV-2) to establish latency in (or reactivate from) sacral ganglionic tissue. In an effort to identify viral functions associated with latency, we analyzed HSV-1 isolates from three pa...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Fife KH,Boggs D

    更新日期:1986-07-01 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

  • 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

  • Prevalence and risk factors for human herpesvirus 8 infection in northern Cameroon.

    abstract:BACKGROUND:The modes of transmission of HHV-8 are still unclear. GOAL:To evaluate the distribution and transmission of HHV-8 infection. DESIGN:Serosurvey conducted in a Cameroon hospital among 292 persons, including children (5-10 years), adolescents (15-20 years), and adults (30-40 years). Antibodies against lytic a...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Rezza G,Tchangmena OB,Andreoni M,Bugarini R,Toma L,Bakary DK,Glikoutou M,Sarmati L,Monini P,Pezzotti P,Ensoli B

    更新日期:2000-03-01 00:00:00

  • Wild-Type Gyrase A Genotype of Neisseria gonorrhoeae Predicts In Vitro Susceptibility to Ciprofloxacin: A Systematic Review of the Literature and Meta-Analysis.

    abstract::Multidrug-resistant Neisseria gonorrhoeae infections have been declared 1 of the top 3 urgent threats to public health. Approaches to combat resistance include targeted therapy with antibiotics previously thought to be ineffective, made possible by rapid molecular assays to predict susceptibility. Previous studies hav...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章,meta分析,评审


    authors: Allan-Blitz LT,Wang X,Klausner JD

    更新日期:2017-05-01 00:00:00

  • A Comparison of Two Mathematical Modeling Frameworks for Evaluating Sexually Transmitted Infection Epidemiology.

    abstract:BACKGROUND:Different models of sexually transmitted infections (STIs) can yield substantially different conclusions about STI epidemiology, and it is important to understand how and why models differ. Frequency-dependent models make the simplifying assumption that STI incidence is proportional to STI prevalence in the ...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Johnson LF,Geffen N

    更新日期:2016-03-01 00:00:00

  • Gonorrhea in women prostitutes: clinical data and auxotypes, serovars, plasmid contents of PPNG, and susceptibility profiles.

    abstract::Eighty-nine women prostitutes who underwent clinical and microbiologic examination were found to have gonococcal infection. The median age was 22; 92.1% were from urban areas. Nearly all the women prostitutes refrained from barrier methods (92.1%) and had contact with several partners (91.0%). The most frequent clinic...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Vázquez F,Palacio V,Vázquez JA,Berrón S,González A,Llaneza JJ

    更新日期:1991-01-01 00:00:00

  • Chlamydia trachomatis infection among women 26 to 39 years of age in the United States, 1999 to 2010.

    abstract::Using data from a nationally representative survey, we identified predictors of chlamydial infection in women aged 26 to 39 years. Chlamydia prevalence was low overall but varied by sociodemographics and sexual behaviors. Findings support current recommendations that women older than 25 years should not be routinely s...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Torrone EA,Geisler WM,Gift TL,Weinstock HS

    更新日期:2013-04-01 00:00:00

  • Reduction in sexual risk behaviors and infection rates among African Americans and Mexican Americans.

    abstract:BACKGROUND:Project SAFE, a gender- and culture-specific cognitive-behavioral intervention, was one of the few interventions to have demonstrated a significant reduction in sexually transmitted infections in a randomized, controlled trial. GOAL:We evaluated intervention efficacy in 379 Mexican Americans and 170 African...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章


    authors: Korte JE,Shain RN,Holden AE,Piper JM,Perdue ST,Champion JD,Sterneckert K

    更新日期:2004-03-01 00:00:00

  • Clinical and virologic response to episodic acyclovir for genital ulcers among HIV-1 seronegative, herpes simplex virus type 2 seropositive African women: a randomized, placebo-controlled trial.

    abstract::In a randomized trial among African women with recurrent genital herpes, episodic acyclovir therapy resulted in modestly greater likelihood of lesion healing (hazard ratio [HR] = 1.48, P = 0.098; mean, 5.1 vs. 6.0 days) and cessation of herpes simplex virus shedding (HR = 1.88, P = 0.008; mean, 3.0 vs. 5.0 days) compa...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章,随机对照试验


    authors: Baeten JM,Reid SE,Delany-Moretlwe S,Hughes JP,Wang RS,Wilcox E,Limbada M,Akpomiemie G,Corey L,Wald A,Celum C

    更新日期:2012-01-01 00:00:00