Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
1999-8-4
pubmed:abstractText
Correct management of sexually transmitted diseases (STDs) is important for their control, and to reduce HIV transmission. Guidelines on syndromic management of STDs were introduced by the provincial Department of Health in KwaZulu/Natal (KZN) in South Africa in 1995. The drug treatment provided for STDs by the 11 private general practitioners in one rural district was assessed and compared with provincial guidelines. Information was gathered through semistructured interviews which asked the 11 doctors, who all dispense prescribed drugs as part of the consultation fee, how they would treat 3 hypothetical cases of STD syndromes. In all 33 prescriptions, the treatment did not correspond exactly with provincial recommendations and only 3 (9%) were adequate. All other prescriptions were inadequate because dose or duration was incorrect in 6 (18%), or because incorrect drugs were prescribed in 24 (73%) of cases. Eight of the 11 doctors did not provide adequate treatment for any of their cases. A continuing medical education programme for the doctors and their staff was devised to improve the STD treatment in the private sector in this South African district.
pubmed:keyword
http://linkedlifedata.com/resource/pubmed/keyword/Africa, http://linkedlifedata.com/resource/pubmed/keyword/Africa South Of The Sahara, http://linkedlifedata.com/resource/pubmed/keyword/DRUGS, http://linkedlifedata.com/resource/pubmed/keyword/Delivery Of Health Care, http://linkedlifedata.com/resource/pubmed/keyword/Developing Countries, http://linkedlifedata.com/resource/pubmed/keyword/Diseases, http://linkedlifedata.com/resource/pubmed/keyword/Economic Factors, http://linkedlifedata.com/resource/pubmed/keyword/English Speaking Africa, http://linkedlifedata.com/resource/pubmed/keyword/Health, http://linkedlifedata.com/resource/pubmed/keyword/Health Personnel, http://linkedlifedata.com/resource/pubmed/keyword/Infections, http://linkedlifedata.com/resource/pubmed/keyword/Macroeconomic Factors, http://linkedlifedata.com/resource/pubmed/keyword/Physicians, http://linkedlifedata.com/resource/pubmed/keyword/Private Sector, http://linkedlifedata.com/resource/pubmed/keyword/Reproductive Tract Infections, http://linkedlifedata.com/resource/pubmed/keyword/Research Report, http://linkedlifedata.com/resource/pubmed/keyword/SOUTH AFRICA, http://linkedlifedata.com/resource/pubmed/keyword/Sexually Transmitted..., http://linkedlifedata.com/resource/pubmed/keyword/Southern Africa, http://linkedlifedata.com/resource/pubmed/keyword/Treatment
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
May
pubmed:issn
0956-4624
pubmed:author
pubmed:issnType
Print
pubmed:volume
10
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
324-7
pubmed:dateRevised
2004-11-17
pubmed:otherAbstract
PIP: The correct management of sexually transmitted diseases (STD) can help to control and reduce the spread of HIV infection. To that end, guidelines upon the syndromic management of STDs were introduced by the provincial Department of Health in KwaZulu/Natal (KZN) in South Africa in 1995. Drug treatment provided for STDs by 11 private general practitioners in 1 rural district was investigated and compared with provincial guidelines. Study data were collected through semi-structured interviews in which the doctors were asked how they would treat 3 hypothetical cases of STD. In all of the 33 prescriptions written by the physicians, the treatment failed to correspond exactly with provincial recommendations and only 3 were adequate. The other prescriptions were inadequate because either the dose or regimen duration was incorrect in 6 cases, and because the wrong drugs were prescribed in 24 cases. 8 of the physicians did not provide adequate treatment for any of their cases. A continuing medical education program for the doctors and their staff was subsequently created to improve the private sector treatment of STDs in KZN.
pubmed:meshHeading
pubmed:year
1999
pubmed:articleTitle
Inadequate treatment for sexually transmitted diseases in the South African private health sector.
pubmed:affiliation
Centre for Epidemiological Research in South Africa, Medical Research Council, Hlabisa.
pubmed:publicationType
Journal Article