PMID: 15389004Sep 25, 2004Paper

Treatment of sexually transmitted diseases in Estonia: consistency with the evidence-based medicine principles

Sexually Transmitted Diseases
Anneli UuskülaJack DeHovitz

Abstract

Estonia is among those Eastern European countries that have witnessed an explosive intravenous drug use-driven HIV epidemic. Early sexually transmitted disease (STD) diagnosis and appropriate treatment is essential to prevent an STD-driven HIV epidemic. The objectives of this study were to define the schedule of antibiotic treatment doctors in Estonia used to treat STDs, and to determine if the treatments used correspond to evidence-based medicine treatment principles. Using an administrative database of the Estonian Health Insurance Fund on pharmaceuticals reimbursement, we obtained information on: drug (ATC 1998) prescribed with an STD diagnosis (International Classification of Diseases and Related Health Problems, syphilis, gonorrhea, genital Chlamydia trachomatis and Trichomonas vaginalis infections, and genital herpes), prescribing physician specialty, and patient demographics (date of birth, gender). To evaluate the correspondence of STD treatment to evidence-based medicine principles, the therapeutic regimens used were compared with recommendations from the European Sexually Transmitted Infections Management Guidelines. In 2001 and 2002, physicians ordered 17,077 prescriptions for systemic antibacterial medications to tr...Continue Reading

References

Nov 1, 1990·The Medical Clinics of North America·R C Brunham, F A Plummer
Jul 4, 1998·Lancet·A C GerbaseT E Mertens
Apr 1, 1999·Sexually Transmitted Diseases·F E OkonofuaH K Heggenhougen
Aug 29, 2000·Sexually Transmitted Infections·A RubinsI Jakabsone
Mar 10, 2001·Health Policy and Planning·D WalkerJ Whitworth
Jun 5, 2002·International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases·Anneli UuskülaJack DeHovitz

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Citations

Jun 30, 2006·Sexually Transmitted Infections·S O AralA Uusküla
Jun 24, 2008·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·H M Fletcher, B Hanchard
Jan 16, 2007·Lancet·Zhi-Qiang ChenMyron S Cohen
Sep 9, 2010·Scandinavian Journal of Public Health·R David Parker, Kristi Rüütel

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