Management of first-episode pelvic inflammatory disease in primary care: Results from a large UK primary care database

British Journal of General Practice

Volumn 60, Issue 579, 2010, Pages

  Nicholson, Amanda ^a   Rait, Greta ^b   Murray Thomas, Tarita ^c   Hughes, Gwenda ^d   Mercer, Catherine H ^e   Cassell, Jackie ^a  

^a UNIVERSITY OF BRIGHTON   (United Kingdom)

^b MEDICAL RESEARCH COUNCIL   (United Kingdom)

^c MEDICINES AND HEALTHCARE PRODUCTS REGULATORY AGENCY   (United Kingdom)

^d PUBLIC HEALTH ENGLAND   (United Kingdom)

^e UNIVERSITY COLLEGE LONDON   (United Kingdom)

Author keywords

Chlamydia; Electronic health records; Incidence; Pelvic inflammatory disease; Primary health care

Indexed keywords

AZITHROMYCIN; DOXYCYCLINE; ERYTHROMYCIN; METRONIDAZOLE; OFLOXACIN;

ADOLESCENT; ADULT; ANTIBIOTIC THERAPY; ARTICLE; CHLAMYDIA TRACHOMATIS; CHLAMYDIASIS; CLINICAL ASSESSMENT; COHORT ANALYSIS; DATA BASE; FEMALE; GENERAL PRACTICE; HUMAN; INCIDENCE; MAJOR CLINICAL STUDY; NEISSERIA GONORRHOEAE; PELVIC INFLAMMATORY DISEASE; PRACTICE GUIDELINE; PRIMARY MEDICAL CARE; UNITED KINGDOM; VAGINA SMEAR;

ADOLESCENT; ADULT; ANTI-INFECTIVE AGENTS; CHLAMYDIA INFECTIONS; CHLAMYDIA TRACHOMATIS; DATABASES, FACTUAL; ELECTRONIC HEALTH RECORDS; EPIDEMIOLOGIC METHODS; FAMILY PRACTICE; FEMALE; GREAT BRITAIN; GUIDELINE ADHERENCE; HUMANS; METRONIDAZOLE; PELVIC INFLAMMATORY DISEASE; PRACTICE GUIDELINES AS TOPIC; TREATMENT OUTCOME; YOUNG ADULT;

EID: 78650564269     PISSN: 09601643     EISSN: None     Source Type: Journal    
DOI: 10.3399/bjgp10X532404     Document Type: Article

References (18)

1. Hillis SD, Joesoef R, Marchbanks PA, el al. Delayed care of pelvic intlammatory disease as a risk factor for impaired fertility. Am J Obstet Gynecol 1993; 168(5): 1503-1509.
2. British Association for Sexual Health and HIV. 2001 National guideline for the management of epididymo-orchitis. http://www.bashh.org/documents/31/31. pdf (accessed 26 Aug 2010).
3. British Association for Sexual Health and HIV. United Kingdom National Guidelines for the management of pelvic inflammatory disease, http://www.bashh.Org/dcicumcnts/118/118.pdf (accessed 26 Aug 2010).
4. British Association for Sexual Health and HIV. 2006 UK National Guidelines for the management of genital tract injection with Chlamydia trachomatis. http://www.bashh.org/documents/61/61.pdf (accessed 26 Aug 2010).
5. Royal College of Obstetricians and Gynaecologists, Management of acute pelvic inflammatory disease. Guideline no 32. http://www.rcog.org.uk/files/rcog- corp/uploadedfiles/T32PelvicInflamatoryDisease2008MinorRevision.pdf (accessed 4 Jun 2010)
6. Simms I, Rogers P, Charlett A. The rate of diagnosis and demography of pelvic intlammatory disease in general practice: England and Wales. Int J STD AIDS 1999; 10(7): 448-451.
7. Simms I, Fleming DM, Lowndes CM, el al. Surveillance of sexually transmitted diseases in genera] practice: a description of trends in the Royal College of General Practitioners Weekly Returns Service between 1994 and 2001. Int J STD AIDS 2006; 17(10): 693-698.
8. Cassell JA, Mercer CH, Sutcliffe L, et al. Trends in sexually transmitted infections in general practice 1990-2000: population based study using data from the UK genera] practice research database. BMJ 2006; 332(7537): 332-334.
9. Hughes G, Williams T, Simms I, et al. Use of a primary care database to determine trends in genital chlamydia testing, diagnostic episodes and management in UK general practice, 1990-2004. Sex Transm Infect 2007; 83: 310-313.
10. Department of Health. Better prevention, better services, better sexual health: the national strategy for sexual health and HIV. London: Department of Health, 2001.
11. Huengsberg M, Ip CB, Radcliffe KW. How well is pelvic inflammatory disease managed in general practice? A postal questionnaire survey. Sex Transm Inject 1998; 74(5): 361-363.
12. National Chlamydia Screening Programme. The National Chlamydia Screening Programme Core requirements, 2008. http://www.chlamydiascreening.nhs.uk/ps/ asscts/pdfs/core-req/NS CP-CoreReq-4th-edition-latest.pdf(accessed 4 Jun 2010).
13. The General Practice Research Database. http://www.gprd.com/home/ (accessed 4 Jun 2010).
14. Doxanakis A, Hayes RD, Chen MY, et al. Missing pelvic inflammatory disease? Substantial differences in the rate at which doctors diagnose PID. Sex Transm Inject 2008; 84(7): 518-523.
15. Ratelle S, Yokoe D, Blejan C, et al. Predictive value of clinical diagnostic codes for the CDC case definition of pelvic intlammatory (PID) -implications for surveillance. Sex Transm Dis 2003; 30(11): 866-870.
16. French C, Hughes G, Yung M, et al. Rates of pelvic inflammatory disease diagnoses in general practice prior to and during the initial years of an opportunistic chlamydia screening programme, Sex Transm Dis 2010: in press.
17. Owusu-Edusei K, Bohm MK, Chesson HW, Kent CK. Chlamydia and gonorrhoea screening and pelvic inflammatory disease diagnoses: can simple time series analyses provide some insights? Oral presentation at 18th Conference of International Society for STD Research, London 2009, OS.2.6.06.
18. Rekart M, Gilbert M, Kim P, et al. Documenting the success of Chlamydia control in British Columbia. 2009. Poster presentation at 18th Conference of International Society for STD Research, London 2009. P.4.64.