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Adherence to CDC STD guideline recommendations for the treatment of Chlamydia trachomatis infection in two managed care organizations.
Sexually Transmitted Diseases 2003;30:30-32.
Magid DJ, Stiffman M, Anderson LA, Irwin K.
Abstract
BACKGROUND: The extent of adherence to the Centers for Disease Control and
Prevention (CDC) STD guidelines by clinicians practicing in managed care
settings is unknown.GOAL The goal was to assess adherence to the CDC guideline
recommendations for the treatment of genital chlamydial infection, by clinicians
at two group model managed care organizations. DESIGN: Retrospective cohort
study of men and women with laboratory-confirmed chlamydial infection. Patients
were members of either the Kaiser Permanente Foundation Health Plan of Colorado
or HealthPartners of Minneapolis/St. Paul who had tested positive for cervical
or urethral chlamydial infection during the period from January 1, 1998,
through June 30, 1999. RESULTS: During the study period, 1,078 patients with
positive tests for genital Chlamydia trachomatis were identified. More than
97% of men and nonpregnant women and more than 98% of pregnant women were
prescribed treatment, consistent with current CDC guidelines. CONCLUSION:
Adherence to CDC-recommended therapy was high for patients with genital chlamydial
infections at these two managed care organizations.