Diagnosis and management of pelvic inflammatory disease at an outpatient sexual health clinic: a chart audit

Au, Minnie, Buhrer-Skinner, Monika, and Menon, Arun (2014) Diagnosis and management of pelvic inflammatory disease at an outpatient sexual health clinic: a chart audit. Annals of the ACTM, 15 (3). pp. 62-63.

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Background/Aims: To compare the management of pelvic inflammatory disease (PID) at the Townsville Sexual Health Services (TNSHS) with the Queensland Sexual Health Clinical Management Guidelines (QSHCMG), and identify areas of discrepancy. Methods: A retrospective chart audit of patients diagnosed with PID between January 2012 and December 2013 was conducted. Information from patient charts on the diagnostic criteria, investigations performed and management was retrieved and compared with the QSHCMG. Results: A total of 47 charts was identified with patient age range of 16-48 years. There was insufficient documentation of many features that were deemed as risk factors for PID by the QSHCMG, such as having multiple partners, concurrent bacterial vaginosis, previous sexually transmitted disease, vaginal douching, post-partum endometriosis and recent uterine instrumentation. Minimal diagnostic criteria were met by 37 (79%) patients. Documentation of investigations and management plan was complete in all patients. The antibiotic regimen prescribed (ceftriaxone 500 mg IMI stat, metronidazole 400 mg BD for two weeks and azithromycin 1 g stat (plus repeat in one week) matched that in the QSHCMG in all patients. Symptom improvement was documented in 33 of 40 patients (83%). Seven patients (15%) were lost to follow-up. Conclusion: Improvements could be made in the documentation of important parts of the history and clinical features that identify those patients diagnosed with PID.

Item ID: 39464
Item Type: Article (Abstract)
Keywords: pelvic inflammatory disease, management, diagnosis, sexual health clinic, outpatient
ISSN: 1448-4706
Date Deposited: 22 Aug 2016 04:59
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1103 Clinical Sciences > 110324 Venereology @ 70%
11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111708 Health and Community Services @ 30%
SEO Codes: 92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920114 Reproductive System and Disorders @ 50%
92 HEALTH > 9202 Health and Support Services > 920204 Evaluation of Health Outcomes @ 50%
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