Compliance to the primary health care treatment guidelines and the essential medicines list in the management of sexually transmitted infections in correctional centres in South Africa: findings and implications

Tammy B. Matsitse, Elvera Helberg, Johanna C. Meyer, Brian Godman, Amos Massele, Natalie Schellack

Research output: Contribution to journal › Article

5 Citations (Scopus)

Abstract

Background: The emergence of antimicrobial resistance (AMR) is a global concern and a growing health crisis. Additionally, evidence has shown that non-compliance to treatment guidelines, especially in the management of communicable diseases such as sexually transmitted infections (STIs), has the potential of further enhancing AMR rates. Data on the extent of these challenges in Primary Health Care (PHC) facilities in correctional centres in South Africa (SA) is limited. Hence this study was conducted to determine the level of compliance with the 2008 PHC Standard Treatment Guidelines and Essential Medicines List (PHC STGs/EML) in the management of STIs, and to identify potential factors contributing to the compliance and non-compliance to guide future strategies. Method: An investigational descriptive study, including retrospective and prospective data, was conducted over an eight month period. Results: Male urethritis syndrome, lower abdominal pain and genital ulcer syndrome were the three most common STIs. Doxycycline, ciprofloxacin and metronidazole were prescribed for most of the STIs. Overall compliance to the 2008 PHC STGs/EML was low for all STIs. Conclusion: The study highlights the need to implement antimicrobial stewardship programmes, including educational activities, to promote the rational use of antimicrobials and monitor their use in PHCs in SA.
LanguageEnglish
Pages963-972
Number of pages10
JournalExpert Review of Anti-infective Therapy
Volume15
Issue number10
Early online date19 Sep 2017
DOIs
Publication statusPublished - 6 Oct 2017

Fingerprint

Sexually Transmitted Diseases
South Africa
Primary Health Care
Guidelines
Therapeutics
Urethritis
Doxycycline
Health Facilities
Metronidazole
Standard of Care
Ciprofloxacin
Abdominal Pain
Compliance
Ulcer
Communicable Diseases
Retrospective Studies
Prospective Studies
Education
Health

Keywords

  • antimicrobial resistance
  • sexually transmitted diseases
  • South Africa

Cite this

Matsitse, Tammy B. ; Helberg, Elvera ; Meyer, Johanna C. ; Godman, Brian ; Massele, Amos ; Schellack, Natalie. / Compliance to the primary health care treatment guidelines and the essential medicines list in the management of sexually transmitted infections in correctional centres in South Africa : findings and implications. In: Expert Review of Anti-infective Therapy. 2017 ; Vol. 15, No. 10. pp. 963-972.
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Matsitse, TB, Helberg, E, Meyer, JC, Godman, B, Massele, A & Schellack, N 2017, 'Compliance to the primary health care treatment guidelines and the essential medicines list in the management of sexually transmitted infections in correctional centres in South Africa: findings and implications' Expert Review of Anti-infective Therapy, vol. 15, no. 10, pp. 963-972. https://doi.org/10.1080/14787210.2017.1382354

Compliance to the primary health care treatment guidelines and the essential medicines list in the management of sexually transmitted infections in correctional centres in South Africa : findings and implications. / Matsitse, Tammy B.; Helberg, Elvera; Meyer, Johanna C.; Godman, Brian; Massele, Amos; Schellack, Natalie.

In: Expert Review of Anti-infective Therapy, Vol. 15, No. 10, 06.10.2017, p. 963-972.

Research output: Contribution to journal › Article

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T1 - Compliance to the primary health care treatment guidelines and the essential medicines list in the management of sexually transmitted infections in correctional centres in South Africa

T2 - Expert Review of Anti-infective Therapy

AU - Matsitse, Tammy B.

AU - Helberg, Elvera

AU - Meyer, Johanna C.

AU - Godman, Brian

AU - Massele, Amos

AU - Schellack, Natalie

PY - 2017/10/6

Y1 - 2017/10/6

N2 - Background: The emergence of antimicrobial resistance (AMR) is a global concern and a growing health crisis. Additionally, evidence has shown that non-compliance to treatment guidelines, especially in the management of communicable diseases such as sexually transmitted infections (STIs), has the potential of further enhancing AMR rates. Data on the extent of these challenges in Primary Health Care (PHC) facilities in correctional centres in South Africa (SA) is limited. Hence this study was conducted to determine the level of compliance with the 2008 PHC Standard Treatment Guidelines and Essential Medicines List (PHC STGs/EML) in the management of STIs, and to identify potential factors contributing to the compliance and non-compliance to guide future strategies. Method: An investigational descriptive study, including retrospective and prospective data, was conducted over an eight month period. Results: Male urethritis syndrome, lower abdominal pain and genital ulcer syndrome were the three most common STIs. Doxycycline, ciprofloxacin and metronidazole were prescribed for most of the STIs. Overall compliance to the 2008 PHC STGs/EML was low for all STIs. Conclusion: The study highlights the need to implement antimicrobial stewardship programmes, including educational activities, to promote the rational use of antimicrobials and monitor their use in PHCs in SA.

AB - Background: The emergence of antimicrobial resistance (AMR) is a global concern and a growing health crisis. Additionally, evidence has shown that non-compliance to treatment guidelines, especially in the management of communicable diseases such as sexually transmitted infections (STIs), has the potential of further enhancing AMR rates. Data on the extent of these challenges in Primary Health Care (PHC) facilities in correctional centres in South Africa (SA) is limited. Hence this study was conducted to determine the level of compliance with the 2008 PHC Standard Treatment Guidelines and Essential Medicines List (PHC STGs/EML) in the management of STIs, and to identify potential factors contributing to the compliance and non-compliance to guide future strategies. Method: An investigational descriptive study, including retrospective and prospective data, was conducted over an eight month period. Results: Male urethritis syndrome, lower abdominal pain and genital ulcer syndrome were the three most common STIs. Doxycycline, ciprofloxacin and metronidazole were prescribed for most of the STIs. Overall compliance to the 2008 PHC STGs/EML was low for all STIs. Conclusion: The study highlights the need to implement antimicrobial stewardship programmes, including educational activities, to promote the rational use of antimicrobials and monitor their use in PHCs in SA.

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Matsitse TB, Helberg E, Meyer JC, Godman B, Massele A, Schellack N. Compliance to the primary health care treatment guidelines and the essential medicines list in the management of sexually transmitted infections in correctional centres in South Africa: findings and implications. Expert Review of Anti-infective Therapy. 2017 Oct 6;15(10):963-972. https://doi.org/10.1080/14787210.2017.1382354

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