- Adolescents receiving prescriptions for sexually transmitted infections (STIs) in the emergency department (ED) may not fill them.
- Authors: “it is imperative that novel interventions to improve treatment adherence be explored.”
Why this matters
- Adolescents account for about half of all new STI diagnoses each year.
- Whether they reliably fill ED prescriptions for bacterial STIs is unclear.
- 57.7% (95% CI, 50.9%-64.5%) of prescriptions were filled.
- Multivariate analysis found that only hospital admission predicted filling: aOR, 2.25 (95% CI, 1.02-4.99).
- Retrospective 2-ED cohort study of adolescents aged 13-19 years with an ED diagnosis of pelvic inflammatory disease or cervicitis/urethritis (696 visits, 208 prescriptions).
- Outcome: prescription filling of STI-related antimicrobial treatment, based on a health information network that collects data from participating pharmacies and insurance plans.
- Funding: None disclosed.
- Single-center study.
- Authors do not discuss whether patients might have accessed pharmacies not participating in the network.
- A filled prescription might not actually be used.