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Trends in sexually transmitted infections in the Netherlands, combining surveillance data from general practices and sexually transmitted infection centers

BACKGROUND: Sexually transmitted infections (STI) care in the Netherlands is primarily provided by general practitioners (GPs) and specialized STI centers. STI surveillance is based on data from STI centers, which show increasing numbers of clients. Data from a GP morbidity surveillance network were...

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Autores principales: van den Broek, Ingrid VF, Verheij, Robert A, van Dijk, Christel E, Koedijk , Femke DH, van der Sande, Marianne AB, van Bergen, Jan EAM
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2886004/
https://www.ncbi.nlm.nih.gov/pubmed/20487552
http://dx.doi.org/10.1186/1471-2296-11-39
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author van den Broek, Ingrid VF
Verheij, Robert A
van Dijk, Christel E
Koedijk , Femke DH
van der Sande, Marianne AB
van Bergen, Jan EAM
author_facet van den Broek, Ingrid VF
Verheij, Robert A
van Dijk, Christel E
Koedijk , Femke DH
van der Sande, Marianne AB
van Bergen, Jan EAM
author_sort van den Broek, Ingrid VF
collection PubMed
description BACKGROUND: Sexually transmitted infections (STI) care in the Netherlands is primarily provided by general practitioners (GPs) and specialized STI centers. STI surveillance is based on data from STI centers, which show increasing numbers of clients. Data from a GP morbidity surveillance network were used to investigate the distribution in the provision of STI care and the usefulness of GP data in surveillance. METHODS: Data on STI-related episodes and STI diagnoses based on ICPC codes and, for chlamydia, prescriptions, were obtained from GP electronic medical records (EMRs) of the GP network and compared to data from STI centers from 2002 to 2007. Incidence rates were estimated for the total population in the Netherlands. RESULTS: The incidence of STI-consultations and -diagnoses increased substantially in recent years, both at GPs and STI centers. The increase in consultations was larger than the increase in diagnoses; Chlamydia incidence rose especially at STI centers. GPs were responsible for 70% of STI-related episodes and 80-85% of STI diagnoses. STI centers attract relatively younger and more often male STI-patients than GPs. Symptomatic STIs like Herpes genitalis and genital warts were more frequently diagnosed at GPs and chlamydia, gonorrhea and syphilis at STI centers. CONCLUSIONS: GPs fulfill an important role in STI care, complementary to STI centers. Case definitions of STI could be improved, particularly by including laboratory results in EMRs. The contribution of primary care is often overlooked in STI health care. Including estimates from GP EMRs can improve the surveillance of STIs.
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spelling pubmed-28860042010-06-16 Trends in sexually transmitted infections in the Netherlands, combining surveillance data from general practices and sexually transmitted infection centers van den Broek, Ingrid VF Verheij, Robert A van Dijk, Christel E Koedijk , Femke DH van der Sande, Marianne AB van Bergen, Jan EAM BMC Fam Pract Research article BACKGROUND: Sexually transmitted infections (STI) care in the Netherlands is primarily provided by general practitioners (GPs) and specialized STI centers. STI surveillance is based on data from STI centers, which show increasing numbers of clients. Data from a GP morbidity surveillance network were used to investigate the distribution in the provision of STI care and the usefulness of GP data in surveillance. METHODS: Data on STI-related episodes and STI diagnoses based on ICPC codes and, for chlamydia, prescriptions, were obtained from GP electronic medical records (EMRs) of the GP network and compared to data from STI centers from 2002 to 2007. Incidence rates were estimated for the total population in the Netherlands. RESULTS: The incidence of STI-consultations and -diagnoses increased substantially in recent years, both at GPs and STI centers. The increase in consultations was larger than the increase in diagnoses; Chlamydia incidence rose especially at STI centers. GPs were responsible for 70% of STI-related episodes and 80-85% of STI diagnoses. STI centers attract relatively younger and more often male STI-patients than GPs. Symptomatic STIs like Herpes genitalis and genital warts were more frequently diagnosed at GPs and chlamydia, gonorrhea and syphilis at STI centers. CONCLUSIONS: GPs fulfill an important role in STI care, complementary to STI centers. Case definitions of STI could be improved, particularly by including laboratory results in EMRs. The contribution of primary care is often overlooked in STI health care. Including estimates from GP EMRs can improve the surveillance of STIs. BioMed Central 2010-05-20 /pmc/articles/PMC2886004/ /pubmed/20487552 http://dx.doi.org/10.1186/1471-2296-11-39 Text en Copyright ©2010 Broek et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research article
van den Broek, Ingrid VF
Verheij, Robert A
van Dijk, Christel E
Koedijk , Femke DH
van der Sande, Marianne AB
van Bergen, Jan EAM
Trends in sexually transmitted infections in the Netherlands, combining surveillance data from general practices and sexually transmitted infection centers
title Trends in sexually transmitted infections in the Netherlands, combining surveillance data from general practices and sexually transmitted infection centers
title_full Trends in sexually transmitted infections in the Netherlands, combining surveillance data from general practices and sexually transmitted infection centers
title_fullStr Trends in sexually transmitted infections in the Netherlands, combining surveillance data from general practices and sexually transmitted infection centers
title_full_unstemmed Trends in sexually transmitted infections in the Netherlands, combining surveillance data from general practices and sexually transmitted infection centers
title_short Trends in sexually transmitted infections in the Netherlands, combining surveillance data from general practices and sexually transmitted infection centers
title_sort trends in sexually transmitted infections in the netherlands, combining surveillance data from general practices and sexually transmitted infection centers
topic Research article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2886004/
https://www.ncbi.nlm.nih.gov/pubmed/20487552
http://dx.doi.org/10.1186/1471-2296-11-39
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