These tools will no longer be maintained as of December 31, 2024. Archived website can be found here. PubMed4Hh GitHub repository can be found here. Contact NLM Customer Service if you have questions.


Pubmed for Handhelds

PUBMED FOR HANDHELDS

Search MEDLINE/PubMed

  • Title: The management of pelvic inflammatory disease in the Central Region of Ghana is not standardized.
    Author: Bosu WK, Annan JJ, Mabey D.
    Journal: Int J STD AIDS; 1998 Jul; 9(7):408-13. PubMed ID: 9696197.
    Abstract:
    We evaluated the management of pelvic inflammatory disease (PID) in 2 regional level hospitals and 4 district hospitals of the Central Region of Ghana. We retrospectively reviewed 208 case notes of inpatients clinically diagnosed with PID and interviewed 25 clinicians at these hospitals. Overall, 20 antibiotics were prescribed in 62 different regimens. Between 9 and 26 antibiotic regimens were prescribed in each hospital. Metronidazole, gentamicin, amoxycillin, ampicillin, benzylpenicillin and tetracycline were frequently prescribed while the recommended anti-gonococcal antibiotics, ciprofloxacin and ceftriaxone, were rarely prescribed. The commonest regimens were prescribed for a shorter duration than recommended. Condom promotion, partner notification and management were scarcely or never undertaken. Fifty-six per cent of clinicians had never seen the national treatment guidelines; 32% had received in-service training in STD case management. The findings provide the basis for improving the management of PID in the Central Region of Ghana. An evaluation of the clinical management of pelvic inflammatory disease (PID) conducted in 1997 at two regional and four district hospitals in Ghana's Central Region revealed vast procedural inconsistencies and errors. The analysis was based on a review of the case notes of 208 women hospitalized with PID in 1996 and interviews with 25 hospital clinicians. 19 clinicians (76%) treated their PID patients empirically since laboratory facilities were unavailable or expensive. Overall, 20 antibiotics were prescribed in 62 different regimens. A mean of 2.9 antibiotics was prescribed per patient. Metronidazole, gentamicin, amoxycillin, ampicillin, benzylpenicillin, and tetracycline were the most frequently supplied antibiotics, while the recommended antigonococcal antibiotics ciprofloxacin and ceftriaxone were rarely offered. Moreover, regimens were prescribed for shorter durations (average, 7 days) than recommended. Condom promotion, partner notification, and partner treatment were rarely offered. Only 99 women (48%) were scheduled for a follow-up visit after hospital discharge. 56% of clinicians were unaware of national PID treatment guidelines and only 32% had received in-service training in sexually transmitted disease management. These findings indicate an urgent need for standardization of PID case management, a greater emphasis on partner notification and condom promotion, and more widespread distribution of and in-service training on the national PID guidelines.
    [Abstract] [Full Text] [Related] [New Search]