Descriptive Evaluation of Male Emergency Department Patients in the United States With Gonorrhea and Chlamydia

Elkins, Justin M.; Cantillo-Campos, Santiago; Thompson, Cheryl L.; Mohseni, Michael; Sheele, Johnathan M.

doi:10.7759/cureus.11244

Cited by 4 publications

(4 citation statements)

References 21 publications

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“…We used the existing dataset to explore our clinical question and only included men in the analysis. Analyses from the dataset have previously been published [21][22][23][24][25].…”

Section: Methodsmentioning

confidence: 99%

A Descriptive Analysis of Men Diagnosed With Epididymitis, Orchitis, or Both in the Emergency Department

Bonner¹,

Sheele²,

Cantillo-Campos³

et al. 2021

Cureus

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“…We used the existing dataset to explore our clinical question and only included men in the analysis. Analyses from the dataset have previously been published [21][22][23][24][25].…”

Section: Methodsmentioning

confidence: 99%

A Descriptive Analysis of Men Diagnosed With Epididymitis, Orchitis, or Both in the Emergency Department

Bonner¹,

Sheele²,

Cantillo-Campos³

et al. 2021

Cureus

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“…For our study, only those who underwent nucleic acid amplification test (NAAT) for gonorrhea, chlamydia, or trichomonas, or who had a vaginal wet preparation for trichomonas were included in this analysis. Manuscripts have already been published from this dataset [16][17][18][19][20][21][22].…”

Section: Methodsmentioning

confidence: 99%

Association of Marital Status in the Testing and Treatment of Sexually Transmitted Infections in the Emergency Department

Fox

Sheele

2021

Cureus

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IntroductionSexually transmitted infections (STIs) are frequently tested for and treated in the emergency department (ED). Age, race, and number of sexual partners are known risk factors for STIs. The objective of the current study was to examine marital status as it relates to testing and treating for STIs in the ED. MethodsA database of 75,000 ED patient encounters from a single healthcare system in northeast Ohio between April 18, 2014, and March 7, 2017, was examined. All patients in the dataset underwent a urinalysis and urine culture or received STI testing in the ED. We performed Chi-square and multivariable regression analysis to examine the relationships between the patient's marital status and testing and treatment for STIs performed in the ED. ResultsThere were 20,965 patient encounters where STI testing was performed and was analyzed. Patients were 9.1% (N=1,912) married, 86.6% (N=18,149) single, 4.0% (N=837) were neither married nor single, and 0.3% (N=67) with an unknown marital status. There were 7.1% (19/267) and 4.9% (12/267) of tested married men who were infected with gonorrhea and chlamydia, respectively, whereas only 0.4% (6/1,583) and 2.2% (35/1,588) of tested married women were infected with gonorrhea and chlamydia, respectively. Single men and women were both significantly more likely to have a positive test for gonorrhea and chlamydia compared to married men and women, respectively (P<0.001). Married men and women, compared to single men and women, respectively, were more likely to be given antibiotics for gonorrhea and chlamydia in the ED when the infection was present and not be given antibiotics for the infections when testing was negative (P<0.001). Single women (9.1%; 1,291/14,258) were more likely than married women (4.9%; 75/1,534) to have a positive test for trichomonas, but there were no significant differences between married (1.0%; 1/100) and single men (0.7%; 6/893). ConclusionEven when accounting for age and race, marital status can help predict infection with gonorrhea and chlamydia in the ED. The marital status could be considered by clinicians when risk stratifying patients regarding testing and treating for the diseases in the ED. Gonorrhea and chlamydia are much more common in single men and women and much less common in married persons. However, married men tested for gonorrhea and chlamydia were more than twice as likely to test positive for infection than married women. Married men and women were both more likely to be appropriately treated with antibiotics for gonorrhea and chlamydia in the ED (i.e., testing negative for infection and not receiving antibiotics or testing positive and receiving antibiotics) compared to non-married men and women. While trichomonas was more common in single women than married women, the infection was less common in men, and both married men and single men had similar rates of testing positive for the infection.

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“…Te data set contained retrospective data extracted from the electronic medical records by an institutional information technology team. Data from this data set have been published previously, including how the data set was created [19][20][21][22][23][24][25][26][27][28].…”

Section: Methodsmentioning

confidence: 99%

Patient and Provider Demographics and the Management of Genitourinary Tract Infections in the Emergency Department

Sheele,

Mi,

Monas

et al. 2023

Emergency Medicine International

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Introduction. Urinary tract infections (UTIs) and sexually transmitted infections (STIs) can have overlapping signs, symptoms, and findings on urinalysis. Our objective was to determine if patient or provider demographics are associated with differences in the diagnosis and management of UTIs and STIs in the emergency department (ED). Methods. We analyzed 38,062 ED patient encounters from a single healthcare system between April 18, 2014, and March 7, 2017. All encounters were women ≥18 years of age and not admitted to the hospital. We performed logistic regression using patient and provider demographics, laboratory testing results, ED triage data, and ED diagnoses. Results. The patient’s age, race, and marital status were not associated with having an ED UTI diagnosis with a urine culture ≥10,000 colony forming units (CFUs)/mL (vs. <10,000 CFUs/mL). Patient race and the sex of the ED provider were not associated with differences in empiric antibiotic treatment for gonorrhea and chlamydia during the ED encounter. Patient’s race and the sex of the ED provider were also not associated with discordance between empiric antibiotic therapy given in the ED and the results of gonorrhea and chlamydia tests that resulted following the ED encounter. Conclusion. In our multivariate analyses, we did not observe that the patient’s race resulted in significant differences in the diagnosis of UTIs with bacteriuria ≥10,000 CFU/mL or differences in the empiric treatment of gonorrhea and chlamydia infections among those tested for the infection in the ED. The patient’s age and marital status, but not the provider’s sex, were significantly associated with differences in the management of gonorrhea and chlamydia.

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Descriptive Evaluation of Male Emergency Department Patients in the United States With Gonorrhea and Chlamydia

Cited by 4 publications

References 21 publications

A Descriptive Analysis of Men Diagnosed With Epididymitis, Orchitis, or Both in the Emergency Department

A Descriptive Analysis of Men Diagnosed With Epididymitis, Orchitis, or Both in the Emergency Department

Association of Marital Status in the Testing and Treatment of Sexually Transmitted Infections in the Emergency Department

Patient and Provider Demographics and the Management of Genitourinary Tract Infections in the Emergency Department

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