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Research output: Contribution to Journal/Magazine › Letter › peer-review
Research output: Contribution to Journal/Magazine › Letter › peer-review
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TY - JOUR
T1 - The management of pelvic inflammatory disease in the Central Region of Ghana is not standardized
AU - Bosu, W K
AU - Annan, J J K
AU - Mabey, D
PY - 1998
Y1 - 1998
N2 - 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
AB - 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
KW - Africa
KW - Africa South Of The Sahara
KW - Antibiotics
KW - Delivery Of Health Care
KW - Developing Countries
KW - Diseases
KW - Drugs
KW - English Speaking Africa
KW - Ghana
KW - Health
KW - Health Personnel
KW - Infections
KW - Pelvic Inflammatory Disease--Prevention and Control
KW - Physicians
KW - Reproductive Health--Women
KW - Reproductive Tract Infections
KW - Research Methodology
KW - Research Report
KW - Retrospective Studies
KW - Studies
KW - Treatment--Standards
KW - Western Africa
KW - Pelvic Inflammatory Disease -- Therapy
U2 - 10.1258/0956462981922502
DO - 10.1258/0956462981922502
M3 - Letter
VL - 9
SP - 408
EP - 413
JO - International Journal of STD and AIDS
JF - International Journal of STD and AIDS
SN - 0956-4624
IS - 7
ER -