Management of sexually transmitted disease by surgeons.
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.
Hunt
L M
LM
Derbyshire Royal Infirmary, Derby.
Nash
J R
JR
Dilke-Wing
G M
GM
D000293:Adolescent; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002983:Clinical Competence; D003218:Condylomata Acuminata / Q000601:surgery; D004739:England; D004823:Epididymitis / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008485:Medical Audit; D008487:Medical History Taking / Q000592:standards; D008828:Microbiological Techniques / Q000592:standards; D008875:Middle Aged; D009920:Orchitis / Q000601:surgery; D000292:Pelvic Inflammatory Disease / Q000601:surgery; D012017:Referral and Consultation / Q000592:standards; D012749:Sexually Transmitted Diseases / Q000601:surgery*
D000900:Anti-Bacterial Agents