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Title, author, and year of article: Factors associated with primary care physician knowledge of the recommended regimen for treating gonorrhea. Bornstein, M., Ahmed, F., Barrow, R., Risley, J. F., Simmons, S., & Workowski, K. A. (2017). Brief summary/purpose of the study: The article discusses the various treatments for uncomplicated gonorrhea as a result of resistance to empirical antibiotic. Basically, the article assesses the clinician’s attentiveness of current treatment guidelines using ceftriaxone and azithromycin dual therapy for uncomplicated gonorrhea in adolescents and adults. The data used was DocStyles 2015 survey of 1,357 physicians in primary care that have been in practice for three years who are engaging in screening, diagnosing, or treating the individuals for STIs to one or more patients monthly. The survey used to evaluate the clinician’s knowledge of dual treatment therapy. The outcomes of the study indicate that more than 65% clinicians were well-informed about the management of gonorrhea included dual therapy of ceftriaxone and azithromycin. The experienced clinicians are selecting dual therapy from 50 to 75% of the time. The clinicians that followed continuing medical education utilizing journals, podcasts, and government health agencies were likely to use dual therapy. The research proves that those clinicians practice for a long time less likely utilize the appropriate treatment modalities for the management of gonorrhea.How did the study support Ms. Campbell’s case: The article assists the clinicians to need to be well informed with the current treatment recommendation for treating gonorrhea which can result in decreasing the complications associated with gonorrhea and resistance to treatment.EVIDENCE-BASED ARTICLES
Title, author, and year of article: Performance of tests for identification of Neisseria gonorrhoeae. Kulkarni, S., Bala, M., and Risbud, A. (2015). Brief summary/purpose of the study: This article defines the laboratory diagnosis of Neisseria gonorrhoeae by culturing of the organism from various clinical specimens followed by confirmatory tests. The good quality method of specimen collection and its correct transport result in successful culture. The article describes the media requirements and cultural conditions for N gonorrhoeae growth and the characteristics for a presumptive identification of N gonorrhoeae. Confirmatory tests include biochemical tests, chromogenic enzyme substrate tests, immunoassays and nucleic acid methods. At present, culture is the preferred laboratory test. However, if the specimens require long transportation times or have been exposed to extreme temperatures, culture is less sensitive than the nucleic acid methods. The laboratory diagnostic methods for N gonorrhoeae should be revised on a regular basis and modernized as necessary.