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Kane BG, Degutis LC, Sayward HK, et al. Compliance with the Centers for Disease Control and Prevention recommendations for the diagnosis and treatment of sexually transmitted diseases. Acad Emerg Med 2004; 11:371-377.
EDs are not adhering to recommended guidelines when caring for patients with sexually transmitted diseases (STDs), according to this study from Yale University School of Medicine in New Haven, CT.
Researchers conducted retrospective chart review of 203 patient visits for STDs, and compared documentation of the history, physical examination, diagnostic testing, prescribed antibiotics, and discharge instructions with current recommendations from the Centers for Disease Control and Prevention (CDC). Here are key findings:
"The study revealed that the overall compliance with the CDC recommendations for the diagnosis and treatment of STDs measured by documentation is extremely poor," wrote the researchers, who noted that the most concerning finding was failure to comply with the recommended antibiotics.
They recommended a formal feedback and practitioner accountability system, implementation of continuing quality improvement measures, and systems changes including computer-assisted decision support and automated data entry.