Adherence to CDC STD guideline recommendations for the treatment of Chlamydia trachomatis infection in two managed care organizations.
BACKGROUND
The extent of adherence to the Centers for Disease Control and Prevention (CDC) STD guidelines by clinicians practicing in managed care settings is unknown. GOAL The goal was to assess adherence to the CDC guideline recommendations for the treatment of genital chlamydial infection, by clinicians at two group model managed care organizations.


METHODS
Retrospective cohort study of men and women with laboratory-confirmed chlamydial infection. Patients were members of either the Kaiser Permanente Foundation Health Plan of Colorado or HealthPartners of Minneapolis/St. Paul who had tested positive for cervical or urethral chlamydial infection during the period from January 1, 1998, through June 30, 1999.


RESULTS
During the study period, 1,078 patients with positive tests for genital Chlamydia trachomatis were identified. More than 97% of men and nonpregnant women and more than 98% of pregnant women were prescribed treatment, consistent with current CDC guidelines.


CONCLUSIONS
Adherence to CDC-recommended therapy was high for patients with genital chlamydial infections at these two managed care organizations.
Magid
David J
DJ
Clinical Research Unit, Colorado Permanente Medical Group, University of Colorado Health Sciences Center, Denver, Colorado, USA. David.J.Magid@kp.org
Stiffman
Michael
M
Anderson
Lynda A
LA
Irwin
Kathleen
K
Lyons
Ella E
EE
D000293:Adolescent; D000328:Adult; D000900:Anti-Bacterial Agents / Q000145:classification / Q000627:therapeutic use*; D002487:Centers for Disease Control and Prevention, U.S.; D002690:Chlamydia Infections / Q000188:drug therapy* / Q000453:epidemiology*; D002692:Chlamydia trachomatis; D015331:Cohort Studies; D003120:Colorado / Q000453:epidemiology; D005260:Female; D019983:Guideline Adherence; D006801:Humans; D008297:Male; D008329:Managed Care Programs / Q000592:standards*; D008910:Minnesota / Q000453:epidemiology; D017410:Practice Guidelines as Topic; D012189:Retrospective Studies; D014481:United States
D000900:Anti-Bacterial Agents