Provider Characteristics Associated With Guideline-Nonadherent Gonorrhea Treatment, Massachusetts, 2010

• Published in: Sexually transmitted diseases Vol. 41; no. 2; pp. 133 - 136
• Main Authors: Swails, Jennifer, Smock, Laura, Hsu, Katherine
• Format: Journal Article
• Language: English
• Published: United States Lippincott Williams & Wilkins, a business of Wolters Kluwer Health 01-02-2014; Copyright American Sexually Transmitted Diseases Association; Lippincott Williams & Wilkins Ovid Technologies
• Subjects: Adherence; Adolescent; Adult; Aged; Anti-Bacterial Agents - administration & dosage; Antibiotics; Case-Control Studies; Ceftriaxone - administration & dosage; Drug resistance; Drug Resistance, Bacterial; Female; Gonorrhea; Gonorrhea - drug therapy; Gonorrhea - epidemiology; Gonorrhoea; Guideline Adherence; Health maintenance organizations; Humans; Injections, Intramuscular; Male; Massachusetts - epidemiology; Medical treatment; Middle Aged; Practice Guidelines as Topic; Practice Patterns, Physicians; Private practice; Resistance; The Real World of STD Prevention; Massachusetts
• ISSN: 0148-5717; 1537-4521
• DOI: 10.1097/OLQ.0000000000000073

Emerging antibiotic resistance may be slowed through effective implementation of treatment guidelines. Our case-control study showed that providers who treated gonorrhea differently from guidelines in Massachusetts accounted for approximately 4% of cases and were associated with private practice/health maintenance organization settings and lower-incidence locations. Patient β-lactam allergy was also significantly associated with guideline nonadherence.