Background During many decades in the majority of Eastern European Countries, persons with lower genital tract infections were treated exceptionally by the veneologist. Today dermatovenereologist sees less than 40% of these patients. The rest of the patients is treated and managed by gynaecologists, general physicians, urologists etc. Therefore in developing STI patient management approaches a multiprofessional approach is crucial.
Methods Recently, collaborating effort to prepare STI patient management guidelines in Lithuania was undertaken. Dermatovenereologists, gynaecologists, urologists, microbiologists, general practitioners and other STI patients managing specialists for the first time gathered together. IUSTI, WHO, CDC and EE SRHR guidelines were used.
Results Collaborating project resulted in development of evidence-based STI patient management guidelines, containing the information about the: (i) who should be tested; (ii) what methods are to be used; (iii) recommended treatment regiments; (iv) partner management strategies; (v) follow up approaches; (vi) case reporting and (vi) counselling. Syndromic approach for the management of urethritis and cervicitis as well as complications has also been described. Over 1200 copies of the guidelines have been disseminated to medical professionals and made available for medical students. The electronic version of the document has been presented at the website www.kaunoklinikos.ltand can be accessed to any specialist and medical student with no charge. During the preparation of the guidelines the main discrepancies with the international practise identified and eliminated, as e.g. use of serology for diagnosis of chlamydial infection, the use microscopy and not culture, no NAATS for the diagnosis of gonorrhoea, treatment of early syphilis by short acting penicillin, preventive treatment of syphilis for pregnant women, etc.
Conclusion STI management guidelines became an excellent example of the multiprofessional collaboration in Lithuania, bringing international evidence-based approaches across the professional barriers of all medical professions, involved in management of STI-patients.
- sexually transmitted infections
- treatment guideline
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