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Outpatient PID treatment dicey with adolescents.(Gynecology)(Brief Article)

OB GYN News

| May 01, 2005 | Kirn, Timothy F. | COPYRIGHT 2005 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

LOS ANGELES -- Adolescents treated for pelvic inflammatory disease are not likely to complete a 14-day course of antibiotics nor return for 72-hour evaluation, according to a study designed to see if implementation of a rigorous institutional protocol could improve care.

The protocol helped, but only somewhat, Maria Trent, M.D., said at the annual meeting of the Society for Adolescent Medicine.

The study compared management of 56 adolescent females diagnosed with pelvic inflammatory disease before implementation of the protocol with the management of 72 females seen afterward.

The protocol included disseminating a treatment algorithm and a clinical practice guideline based on Centers for Disease Control and Prevention recommendations, making available a full 14-day course of medications at discharge, providing written discharge instructions, and following up by telephone 24 ...

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