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Hong Kong Med J. 2005 Aug;11(4):273-80.

Primary care of patients with sexually transmitted diseases or genitourinary symptoms in Hong Kong.

Author information

1
Department of Community and Family Medicine, The Chinese University of Hong Kong, School of Public Health, Prince of Wales Hospital, Shatin, Hong Kong. cwwong@cuhk.edu.hk

Abstract

OBJECTIVES:

To determine the adequacy of care received from general practitioners by patients with sexually transmitted diseases or genitourinary symptoms.

DESIGN:

Prospective study.

SETTING:

Hong Kong.

PARTICIPANTS:

Diagnoses and drug data obtained from logbooks submitted by doctors studying for the Diploma in Family Medicine and candidates for Fellowship examinations between 1999 and 2002.

MAIN OUTCOME MEASURES:

Diagnosis or symptom of a sexually transmitted disease and prescribed treatment.

RESULTS:

Sexually transmitted diseases and genitourinary symptoms accounted for 1.1% of the workload of these community doctors in Hong Kong. The majority of patients were young adult males. The overall standard of treatment was inadequate: both multi-pharmacy and inappropriate treatment was common; in up to 30% of cases, doctors ignored local or international guidelines.

CONCLUSION:

Primary care doctors play an important role in the diagnosis and management of sexually transmitted diseases or genitourinary symptoms in Hong Kong. A high index of suspicion should be maintained and continuing education made available if doctors are to provide an equally high standard of care.

PMID:
16085944
[Indexed for MEDLINE]
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