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首页> 美国卫生研究院文献>The British Journal of Venereal Diseases >Knowledge attitudes and practices regarding sexually transmitted infections among general practitioners and medical specialists in Karachi Pakistan
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Knowledge attitudes and practices regarding sexually transmitted infections among general practitioners and medical specialists in Karachi Pakistan

机译：巴基斯坦卡拉奇全科医生和医学专家之间有关性传播感染的知识态度和做法

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>Objectives: To determine the knowledge, attitudes, and practices regarding diagnosis and treatment of sexually transmitted infections (STIs) among specialists—that is, dermatologists, gynaecologists and urologists, and general practitioners (GPs) in Karachi, Pakistan. >Methods: Interviewers administered structured questionnaires to doctors conducting outpatient clinics at tertiary hospitals and/or private clinics in Karachi. All private clinics within a 10 km radius of the Aga Khan University, and all tertiary hospitals having more than 100 inpatient beds were included in the study. >Results: 100 doctors (54 specialists and 46 GPs) responded. 80 doctors reported seeing at least one STI patient/month. The most commonly diagnosed STI the doctors reported was urethritis/cervicitis syndrome. 50% of the doctors knew the recommended antibiotics for gonorrhoea though only 46% of these knew the correct dosage. Specialists were three times more likely to recognise the clinical presentation of herpes and twice as likely to treat chlamydia, syphilis, and herpes with appropriate antimicrobials than GPs. 85% of the doctors advised their STI patients regarding condom usage; 36% thought that STI patients had loose sexual morals; 43% believed STI patients were drug addicts. Over 90% of the physicians were willing to attend educational sessions and follow a national STI treatment protocol. >Conclusion: Doctors in Karachi, especially GPs, are deficient in appropriately managing and counselling STI patients. Among the specialists, urologists and dermatologists were more likely to manage STIs correctly than gynaecologists. Karachi doctors should be educated in the correct management and counselling of STIs to prevent further spread of STIs including AIDS. >Key Words: sexually transmitted infections; general practitioners; attitudes and practices
机译：>目标：要确定卡拉奇的皮肤科医生，妇科医生和泌尿科医师以及全科医生（GP）之间有关性传播感染（STI）的诊断和治疗的知识，态度和做法，巴基斯坦。 >方法：采访者向在卡拉奇的三级医院和/或私人诊所进行门诊诊治的医生发放了结构化问卷。该研究包括阿迦汗大学方圆10公里范围内的所有私人诊所以及所有拥有100多个住院床位的三级医院。 >结果：100位医生（54位专家和46位全科医生）做出了回应。 80位医生报告说每月至少有一名STI患者。医生报告的最常诊断的性传播感染是尿道炎/宫颈炎综合征。 50％的医生知道推荐的淋病抗生素，尽管只有46％的医生知道正确的剂量。专家认识到疱疹的临床表现的可能性是GP的三倍，而用适当的抗生素治疗衣原体，梅毒和疱疹的可能性是GP的两倍。 85％的医生建议性传播感染患者使用安全套； 36％的人认为性传播疾病患者的性道德宽松； 43％的人认为STI患者是吸毒者。超过90％的医生愿意参加教育会议并遵循国家性传播感染治疗方案。 >结论：卡拉奇的医生，尤其是全科医生，在适当地管理和咨询性传播感染患者方面缺乏能力。在专科医生中，泌尿科医师和皮肤科医师比妇科医师更可能正确管理性病。应当对卡拉奇医生进行正确的性传播感染管理和咨询方面的教育，以防止包括艾滋病在内的性传播感染进一步传播。 >关键词：性传播感染；全科医生；态度和做法

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