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Presumptive and follow-up treatment for gonorrhea and chlamydia among patients attending Public Health Department Clinics in Virginia, 2016

Sexually Transmitted Diseases Feb 27, 2019

Pugsley RA, et al. - Given a common practice of presumptive antibiotic treatment for suspected chlamydia (CT) and gonorrhea (GC) infections before laboratory confirmation to prevent complications, reduce loss-to-follow-up, and interrupt transmission, researchers investigated the prevalence of this practice in sexually transmitted disease (STD) and family planning clinics. Using administrative data merged with electronic laboratory reporting data, they performed this retrospective analysis of data from clinics in Virginia in 2016. Analysis revealed that the practice of presumptive treatment for CT/GC was common among this clinic population. Improved treatment coverage and reduced time to treatment were evident in correlation with this practice, though some uninfected persons were treated. Further study is required for the impact of presumptive treatment on partner notification and treatment.
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