Document Detail


Cervicitis in adolescents: do clinicians understand diagnosis and treatment?
MedLine Citation:
PMID:  21872515     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Cervicitis is widespread, but no studies have examined cervicitis in accordance with established guidelines for diagnosis and treatment. Study objectives were to describe adherence to Centers for Disease Control and Prevention guidelines for diagnosis and treatment of cervicitis within an adolescent population and to compare factors associated with adherence to guidelines in a primary care setting and the Emergency Department.
METHODS: Data were collected as part of a retrospective chart review of evaluation, diagnosis, and treatment of STI in adolescent women in an outpatient setting. Participant charts were eligible for review if they were 12-21 years of age and were given an ICD-9 and chart diagnosis of cervicitis. Two primary outcome variables: meeting cervicitis guidelines and correct treatment among those meeting cervicitis guidelines (no/yes) were utilized; the study controlled for age, race, venue, past infection with chlamydia or gonorrhea.
RESULTS: Subjects (n = 365) were examined for the primary outcome variables and 75.1% (274/365) met at least one criterion for cervicitis. Of these, 166 (60.9%: 166/274) subjects were found to meet criteria for cervicitis alone, versus subjects meeting criteria for both cervicitis and pelvic inflammatory disease (PID) (39.4%: 108/274). The majority, 89.3%, (326/365) were treated for both chlamydia and gonorrhea, but only 64.7% (211/326) were treated correctly for both infections.
CONCLUSIONS: Our findings suggest that knowledge deficits exist in diagnosis and treatment of cervicitis in adolescent patients and in differentiating between cervicitis and PID. Educational tools, simulated patient exercises, and order sets may be warranted for quality improvement to allow for improved care of this at risk sexually active population.
Authors:
Jennifer L Woods; Sarabeth L Bailey; Devon J Hensel; Amy M Scurlock
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Publication Detail:
Type:  Journal Article     Date:  2011-08-27
Journal Detail:
Title:  Journal of pediatric and adolescent gynecology     Volume:  24     ISSN:  1873-4332     ISO Abbreviation:  J Pediatr Adolesc Gynecol     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2011-11-21     Completed Date:  2012-04-13     Revised Date:  2014-09-05    
Medline Journal Info:
Nlm Unique ID:  9610774     Medline TA:  J Pediatr Adolesc Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  359-64     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Chlamydia Infections / complications,  diagnosis,  drug therapy
Diagnostic Errors / statistics & numerical data
Emergency Service, Hospital / standards,  statistics & numerical data*
Female
Gonorrhea / complications,  diagnosis,  drug therapy
Guideline Adherence* / statistics & numerical data
Humans
Mass Screening / standards,  statistics & numerical data
Medication Errors / statistics & numerical data
Pelvic Inflammatory Disease / diagnosis,  drug therapy
Primary Health Care* / standards,  statistics & numerical data
Retrospective Studies
Uterine Cervicitis / diagnosis*,  drug therapy*,  etiology
Young Adult
Grant Support
ID/Acronym/Agency:
K08 AI077932/AI/NIAID NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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