Trends in sexually transmitted infections in general practice 1990-2000: population based study using data from the UK general practice research database

被引:55
作者
Cassell, JA [1 ]
Mercer, CH
Sutcliffe, L
Petersen, I
Islam, A
Brook, MG
Ross, JD
Kinghorn, GR
Simms, I
Hughes, G
Majeed, A
Stephenson, JM
Johnson, AM
Hayward, AC
机构
[1] UCL Royal Free & Univ Coll Med Sch, Dept Primary Care & Populat Sci, London NW3 3PF, England
[2] UCL Royal Free & Univ Coll Med Sch, Ctr Sexual Hlth & HIV Res, London WC1E 6AU, England
[3] Cent Middlesex Hosp, Patrick Clements Clin, London NW10 7NS, England
[4] Whittall St Clin, Birmingham B4 6DH, W Midlands, England
[5] Royal Hallamshire Hosp, Sheffield S10 2JF, S Yorkshire, England
[6] Hlth Protect Agcy, Ctr Communicable Dis Surveillance, Ctr Infect, London NW9 5EQ, England
[7] Med & Healthcare Regulatory Agcy, Gen Practice Res Database Div, Res Serv, London SW8 5NQ, England
来源
BMJ-BRITISH MEDICAL JOURNAL | 2006年 / 332卷 / 7537期
基金
英国医学研究理事会;
关键词
D O I
10.1136/bmj.38726.404120.7C
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objective To describe the contribution of primary care to the diagnosis and management of sexually transmitted infections in the United Kingdom, 1990-2000, in the context of increasing incidence of infections in genitourinary medicine clinics. Design Population based Study. Setting UK primary care. Participants Patients registered in the UK general practice research database. Main outcome measures Incidence of diagnosed sexually transmitted infections in primary care and estimation of the proportion of major such infections diagnosed in primary care. Results An estimated 23.0% of chlamydia cases in women but only 5.3% in men were diagnosed and treated in primary care during 1998-2000, along with 49.2% cases of non-specific urethritis and urethral discharge in men and 5.7% cases of gonorrhoea in women and 2.9% in men. Rates of diagnosis in primary care rose Substantially in the late 1990s. Conclusions A substantial and increasing number of sexually transmitted infections are diagnosed and treated in primary care in the United Kingdom, with sex ratios differing from those in genitourinary medicine clinics. Large numbers of men are treated in primary care for presumptive sexually transmitted infections.
引用
收藏
页码:332 / 334
页数:5
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