Trends in sexually transmitted infections in general practice 1990-2000: population based study using data from the UK general practice research database. Cassell, J. A., Mercer, C. H., Sutcliffe, L., Petersen, I., Islam, A., Brook, M. G., Ross, J. D., Kinghorn, G. R., Simms, I., Hughes, G., Majeed, A., Stephenson, J. M., Johnson, A. M., & Hayward, A. C. BMJ (Clinical research ed.), 332(7537):332--334, February, 2006.
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OBJECTIVE: To describe the contribution of primary care to the diagnosis and management of sexually transmitted infections in the United Kingdom, 1990-2000, in the context of increasing incidence of infections in genitourinary medicine clinics. DESIGN: Population based study. SETTING: UK primary care. PARTICIPANTS: Patients registered in the UK general practice research database. MAIN OUTCOME MEASURES: Incidence of diagnosed sexually transmitted infections in primary care and estimation of the proportion of major such infections diagnosed in primary care. RESULTS: An estimated 23.0% of chlamydia cases in women but only 5.3% in men were diagnosed and treated in primary care during 1998-2000, along with 49.2% cases of non-specific urethritis and urethral discharge in men and 5.7% cases of gonorrhoea in women and 2.9% in men. Rates of diagnosis in primary care rose substantially in the late 1990s. CONCLUSIONS: A substantial and increasing number of sexually transmitted infections are diagnosed and treated in primary care in the United Kingdom, with sex ratios differing from those in genitourinary medicine clinics. Large numbers of men are treated in primary care for presumptive sexually transmitted infections.
@article{cassell_trends_2006,
	title = {Trends in sexually transmitted infections in general practice 1990-2000: population based study using data from the {UK} general practice research database},
	volume = {332},
	issn = {1756-1833},
	shorttitle = {Trends in sexually transmitted infections in general practice 1990-2000},
	doi = {10.1136/bmj.38726.404120.7C},
	abstract = {OBJECTIVE: To describe the contribution of primary care to the diagnosis and management of sexually transmitted infections in the United Kingdom, 1990-2000, in the context of increasing incidence of infections in genitourinary medicine clinics.
DESIGN: Population based study.
SETTING: UK primary care.
PARTICIPANTS: Patients registered in the UK general practice research database.
MAIN OUTCOME MEASURES: Incidence of diagnosed sexually transmitted infections in primary care and estimation of the proportion of major such infections diagnosed in primary care.
RESULTS: An estimated 23.0\% of chlamydia cases in women but only 5.3\% in men were diagnosed and treated in primary care during 1998-2000, along with 49.2\% cases of non-specific urethritis and urethral discharge in men and 5.7\% cases of gonorrhoea in women and 2.9\% in men. Rates of diagnosis in primary care rose substantially in the late 1990s.
CONCLUSIONS: A substantial and increasing number of sexually transmitted infections are diagnosed and treated in primary care in the United Kingdom, with sex ratios differing from those in genitourinary medicine clinics. Large numbers of men are treated in primary care for presumptive sexually transmitted infections.},
	language = {eng},
	number = {7537},
	journal = {BMJ (Clinical research ed.)},
	author = {Cassell, Jackie A. and Mercer, Catherine H. and Sutcliffe, Lorna and Petersen, Irene and Islam, Amir and Brook, M. Gary and Ross, Jonathan D. and Kinghorn, George R. and Simms, Ian and Hughes, Gwenda and Majeed, Azeem and Stephenson, Judith M. and Johnson, Anne M. and Hayward, Andrew C.},
	month = feb,
	year = {2006},
	pmid = {16439371},
	pmcid = {PMC1363910},
	keywords = {Adolescent, Adult, Family Practice, Female, Great Britain, Humans, Male, Sexually Transmitted Diseases, incidence},
	pages = {332--334}
}
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