[The practice guideline 'The STD consultation' from the Dutch College of General Practitioners; a response from the perspective of dermatology].
Sexually transmitted diseases (STDs) constitute an important health problem in the Netherlands. Although there are several STD outpatient clinics, such facilities remain unavailable outside the larger cities. The members of the Dutch College of General Practitioners, who published the practice guideline on STD consultation, provide the majority of STD care. An important aspect of this guideline is the fact that GPs are able to assess the risk by taking a sexual history and then determine their own policy on additional investigations. This prevents the omission of investigations that would exclude an STD, but carries the risk, at least theoretically, that it may be missed. It is noteworthy that scabies is not discussed in these guidelines. The most important difference between the guidelines followed by dermatological/STD clinics throughout the Netherlands is the level of triage practiced by GPs. It seems that GPs have a well-thought out and responsible policy, which also merits attention from dermatologists/venereologists.
Neumann
H A M
HA
Erasmus MC, afd. Dermatologie en Venereologie, Dr.Molewaterplein 40, 3015 GD Rotterdam.
D003880:Dermatology / Q000592:standards*; D006801:Humans; D009426:Netherlands; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians'; D012017:Referral and Consultation; D012307:Risk Factors; D012532:Scabies / Q000175:diagnosis / Q000517:prevention & control / Q000628:therapy; D012749:Sexually Transmitted Diseases / Q000175:diagnosis* / Q000517:prevention & control* / Q000628:therapy; D012955:Societies, Medical