Abstract
Methods of diagnosing and treating male urethritis in King County. Washington in 1974-1975 were examined by a retrospective postal survey, records review, and prospective surveillance. A Gram-stained smear of urethral discharge was used by 86 per cent of private physicians and urethral culture by 56 per cent. Only 5 per cent made a diagnosis without laboratory aid. U.S. Public thealth Service gonorrhea treatment regimens were used by 54-81 per cent of private physicians. Over 90 per cent of physicians not in private practice (emergency room and housestaff) used smear, cultures, and recommended treatment regimens. The Gram-stained smear appeared to be under-utilized and the urethral culture overutilized. There is a significant need for physician education regarding recommended treatment for male gonorrhea.
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Selected References
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- Delf R. B., Jr, Hofeldt R. L. Treatment of gonorrhea in Oregon by the reporting private physician. Health Serv Rep. 1973 Aug-Sep;88(7):601–605. [PMC free article] [PubMed] [Google Scholar]
- Gale J. L., Hinds M. W. Male urethritis in King County, Washington, 1974-75: I. Incidence. Am J Public Health. 1978 Jan;68(1):20–25. doi: 10.2105/ajph.68.1.20. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Handsfield H. H., Lipman T. O., Harnisch J. P., Tronca E., Holmes K. K. Asymptomatic gonorrhea in men. Diagnosis, natural course, prevalence and significance. N Engl J Med. 1974 Jan 17;290(3):117–123. doi: 10.1056/NEJM197401172900301. [DOI] [PubMed] [Google Scholar]
- Jacobs N. F., Kraus S. J. Gonococcal and nongonococcal urethritis in men. Clinical and laboratory differentiation. Ann Intern Med. 1975 Jan;82(1):7–12. doi: 10.7326/0003-4819-82-1-7. [DOI] [PubMed] [Google Scholar]
- John J. Efficacy of prolonged regimes of oxytetracycline in the treatment of nongonococcal urethritis. Br J Vener Dis. 1971 Aug;47(4):266–268. doi: 10.1136/sti.47.4.266. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Judson F. N., Allaman J., Dans P. E. Treatment of gonorrhea. Comparison of penicillin G procaine, doxycycline, spectinomycin, and ampicillin. JAMA. 1974 Nov 4;230(5):705–708. doi: 10.1001/jama.230.5.705. [DOI] [PubMed] [Google Scholar]
- Kaufman R. E., Wiesner P. J. Nonspecific urethritis. N Engl J Med. 1974 Nov 28;291(22):1175–1177. doi: 10.1056/NEJM197411282912208. [DOI] [PubMed] [Google Scholar]
- King A. Failure to control venereal disease. Br Med J. 1970 Feb 21;1(5694):451–457. doi: 10.1136/bmj.1.5694.451. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Lassus A., Perko R. L., Stubb S., Mattila R., Jansson E. Doxycycline treatment of nongonococcal urethritis with special reference to T-strain mycoplasmas. Br J Vener Dis. 1971 Apr;47(2):126–130. doi: 10.1136/sti.47.2.126. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Martin J. E., Jr, Lester A., Price E. V., Schmale J. D. Comparative study of gonococcal susceptibility to penicillin in the United States, 1955-1969. J Infect Dis. 1970 Nov;122(5):459–461. doi: 10.1093/infdis/122.5.459. [DOI] [PubMed] [Google Scholar]
- Wiesner P. J., Holmes K. K., Sparling P. F., Maness M. J., Bear D. M., Gutman L. T., Karney W. W. Single doses of methacycline and doxycycline for gonorrhea: a cooperative study of the frequency and cause of treatment failure. J Infect Dis. 1973 Apr;127(4):461–466. doi: 10.1093/infdis/127.4.461. [DOI] [PubMed] [Google Scholar]