Optimization of management tactics for patients with gonococcal infection based on a retrospective analysis of patients with sexually transmitted infections

The study and analysis of the practice of managing patients with sexually transmitted infections (STIs) is the basis for the development of unified modern approaches to the provision of specialized medical care in the field of dermatovenerology.
Aim. To study the effectiveness of providing medical care to patients with gonococcal infection in dermatovenerological organizations in the Moscow region.
Materials and methods. A retrospective analysis of 151 medical records of outpatients with gonococcal infection identified in the Moscow region in 2020–2023 was conducted. For statistical processing of the data, the method of simple descriptive statistics was used (Pearson’s goodness-of-fit test (c²).
Results. When analyzing the results of using laboratory methods for the diagnosis of gonococcal infection, microscopic and polymerase chain reaction (NCMT – N. gonorrhoeae, С. trachomatis, M. genitalium, T. vaginalis) studies coincided in 99 (65.6 %) patients. In 27.9 %, gonococcal infection occurred as a mixed infection with other STIs. The effectiveness of the treatment of gonococcal infection and the compliance of the treatment with the algorithms presented in the approved clinical recommendations were analyzed. It was found that the prescribed methods of treatment of gonococcal infection only in 48 % of cases corresponded to the regulatory recommendations for the treatment of STIs.
Conclusion. The obtained results indicate the need to carry out organizational and methodological measures to optimize the procedure for providing medical care to patients with gonococcal infection.

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