Diplomate Spotlight Opening Doors with Board Certification: A Conversation with Long Standing Diplomate Joseph Cook Read Opening Doors with Board Certification: A Conversation with Long Standing Diplomate Joseph Cook
Phoenix Newsletter - July 2025 Available Now: 2026 5-Year Cycle Registration Read Available Now: 2026 5-Year Cycle Registration
Home Research Research Library Treatment of Chlamydia and Gonorrhea in Primary Care and Its Patient-Level Variation: An American Family Cohort Study Treatment of Chlamydia and Gonorrhea in Primary Care and Its Patient-Level Variation: An American Family Cohort Study 2025 Author(s) Hao, Shiying, Tao, Guoyu, Pearson, William S, Rochlin, Ilia, Phillips, Robert L, Rehkopf, David H, and Kamdar, Neil S Topic(s) Role of Primary Care, Achieving Health System Goals, and What Family Physicians Do Keyword(s) Quality Of Care, and Sexual And Reproductive Health Volume Annals of Family Medicine Source Annals of Family Medicine PURPOSE Chlamydia and gonorrhea are the 2 most common bacterial sexually transmitted infections in the United States. Nonadherence to the Centers for Disease Control and Prevention treatment guidelines remains a concern. We examined how well chlamydia and gonorrhea treatment in primary care settings adhered to guidelines. METHODS We used electronic health records from the PRIME registry to identify patients with diagnosis codes or positive test results for chlamydia and/or gonorrhea from 2018 to 2022. Outcomes were the first dates of antibiotic administered within 30 days after a positive test result for the infection. Descriptive statistics were calculated for patient sociodemographic characteristics. We used a multivariate parametric accelerated failure time analysis with shared frailty modeling to assess associations between these characteristics and time to treatment. RESULTS We identified 6,678 cases of chlamydia confirmed by a positive test and 2,206 cases of gonorrhea confirmed by a positive test; 75.3% and 69.6% of these cases, respectively, were treated. Females, individuals aged 10-29 years, suburban dwellers, and patients with chlamydia-gonorrhea coinfection had higher treatment rates than comparator groups. Chlamydia was infrequently treated with the recommended antibiotic, doxycycline (14.0% of cases), and gonorrhea was infrequently treated with the recommended antibiotic, ceftriaxone (38.7% of cases). Time to treatment of chlamydia was longer for patients aged 50-59 years (time ratio relative to those aged 20-29 years = 1.61; 95% CI, 1.12-2.30) and for non-Hispanic Black patients (time ratio relative to White patients = 1.17; 95% CI, 1.04-1.33). CONCLUSIONS Guideline adherence remains suboptimal for chlamydia and gonorrhea treatment across primary care practices. Efforts are needed to develop interventions to improve quality of care for these sexually transmitted infections. Read More ABFM Research Read all 1990 Predictive validity of the American Board of Family Practice In-Training Examination Go to Predictive validity of the American Board of Family Practice In-Training Examination 2019 Research gaps in the organisation of primary healthcare in low-income and middle-income countries and ways to address them: a mixed-methods approach Go to Research gaps in the organisation of primary healthcare in low-income and middle-income countries and ways to address them: a mixed-methods approach 2024 Primary Care Physicians’ Satisfaction With Interoperable Health Information Technology Go to Primary Care Physicians’ Satisfaction With Interoperable Health Information Technology 2025 Regional Variation in Scope of Practice by Family Physicians Go to Regional Variation in Scope of Practice by Family Physicians
Author(s) Hao, Shiying, Tao, Guoyu, Pearson, William S, Rochlin, Ilia, Phillips, Robert L, Rehkopf, David H, and Kamdar, Neil S Topic(s) Role of Primary Care, Achieving Health System Goals, and What Family Physicians Do Keyword(s) Quality Of Care, and Sexual And Reproductive Health Volume Annals of Family Medicine Source Annals of Family Medicine
ABFM Research Read all 1990 Predictive validity of the American Board of Family Practice In-Training Examination Go to Predictive validity of the American Board of Family Practice In-Training Examination 2019 Research gaps in the organisation of primary healthcare in low-income and middle-income countries and ways to address them: a mixed-methods approach Go to Research gaps in the organisation of primary healthcare in low-income and middle-income countries and ways to address them: a mixed-methods approach 2024 Primary Care Physicians’ Satisfaction With Interoperable Health Information Technology Go to Primary Care Physicians’ Satisfaction With Interoperable Health Information Technology 2025 Regional Variation in Scope of Practice by Family Physicians Go to Regional Variation in Scope of Practice by Family Physicians
1990 Predictive validity of the American Board of Family Practice In-Training Examination Go to Predictive validity of the American Board of Family Practice In-Training Examination
2019 Research gaps in the organisation of primary healthcare in low-income and middle-income countries and ways to address them: a mixed-methods approach Go to Research gaps in the organisation of primary healthcare in low-income and middle-income countries and ways to address them: a mixed-methods approach
2024 Primary Care Physicians’ Satisfaction With Interoperable Health Information Technology Go to Primary Care Physicians’ Satisfaction With Interoperable Health Information Technology
2025 Regional Variation in Scope of Practice by Family Physicians Go to Regional Variation in Scope of Practice by Family Physicians
