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Improving adherence to guidelines for the diagnosis and management of pelvic inflammatory disease: a systematic review

Liu, Bette, Donovan, Basil, Hocking, Jane S., Knox, Janet, Silver, Bronwyn J. and Guy, Rebecca (2012). Improving adherence to guidelines for the diagnosis and management of pelvic inflammatory disease: a systematic review. Infectious Diseases in Obstetrics and Gynecology,29 aug 2012 - epub(325108):1-6.

Document type: Journal Article
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IRMA ID cmartelxPUB61
Title Improving adherence to guidelines for the diagnosis and management of pelvic inflammatory disease: a systematic review
Author Liu, Bette
Donovan, Basil
Hocking, Jane S.
Knox, Janet
Silver, Bronwyn J.
Guy, Rebecca
Journal Name Infectious Diseases in Obstetrics and Gynecology
Publication Date 2012
Volume Number 29 aug 2012 - epub
Issue Number 325108
ISSN 1098-0997   (check CDU catalogue open catalogue search in new window)
Scopus ID 2-s2.0-84866092032
Start Page 1
End Page 6
Total Pages 6
Place of Publication United States
Publisher Hindawi Publishing Corporation
HERDC Category C1 - Journal Article (DIISR)
Abstract Background
Evidence suggests adherence to clinical guidelines for pelvic inflammatory disease (PID) diagnosis and management is suboptimal. We systematically reviewed the literature for studies describing strategies to improve the adherence to PID clinical guidelines. Methods. The databases MEDLINE and EMBASE, and reference lists of review articles were searched from January 2000 to April 2012. Only studies with a control group were included. Results. An interrupted time-series study and two randomised controlled trials (RCTs) were included. The interrupted time-series found that following a multifaceted patient and practitioner intervention (practice protocol, provision of antibiotics on-site, written instructions for patients, and active followup), more patients received the recommended antibiotics and attended for followup. One RCT found a patient video on PID self-care did not improve medication compliance and followup. Another RCT found an abbreviated PID treatment guideline for health-practitioners improved their management of PID in hypothetical case scenarios but not their diagnosis of PID. Conclusion. There is limited research on what strategies can improve practitioner and patient adherence to PID diagnosis and management guidelines. Interventions that make managing PID more convenient, such as summary guidelines and provision of treatment on-site, appear to lead to better adherence but further empirical evidence is necessary.

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Additional Notes This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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