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Suspected gonorrhea and chlamydia: Incidence and utilization of empiric antibiotics in a health system Emergency Department setting

The American Journal of Emergency Medicine Aug 12, 2018

Garlock J, et al. - Researchers determined the incidence of positive assay in patients that underwent gonorrhea and/or chlamydia (GC) screening. In addition, they ascertained the proportion of patients assayed that got empiric therapy and to what extent positive assays can be predicted by risk factors. Adult patients who presented to the health-system EDs and underwent GC screening were retrospectively studied. Findings revealed a higher incidence of positive GC assays for patients with suspected infection vs previous reports. For the first time, they evaluated GC testing in both men and women in the ED. Identified risk factors to predict a positive assay were male, female < 25?years of age, concomitant bacterial vaginosis, pelvic inflammatory disease or trichomonas, penile discharge, inconsistent condom use, previous/coexisting STDs, and uninsured.

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