@entity1047 and gonorrhoea remain major causes of morbidity despite the availability of effective therapy. Because of the asymptomatic nature of many @entity281 , particularly in @entity1 , active case finding is necessary to trace and offer screening and treatment to sexual contacts of those infected. Genitourinary medicine (GUM) clinics provide investigation and treatment for a variety of @entity458 but the proportion of @entity281 treated outside these clinics is unknown. A questionnaire survey of general practitioners (GPs) was used to examine the prevalence and management of @entity3930 in Scotland. Responses were received from 277/347 (80%) of GPs. A median of one case/year of @entity3930 was seen and screening for gonorrhoea and @entity1047 was undertaken in 82% and 63% of cases not referred to a GUM clinic respectively. Six per cent of GPs attempted to trace sexual contacts. Twenty-nine per cent (60) of @entity1 were not referred to a GUM clinic and increasing distance to the clinic was associated with non-referral. Eleven per cent (18) of @entity1 objected to referral to a GUM clinic. There is scope to improve the management of @entity3930 by providing greater support for GPs, encouraging clinic referral where possible and appropriate investigations and treatment when not.

How are XXXX with urethral discharge managed in general practice?

@entity1 :: ('9606', 'Species') :: ['women', 'patients'] @entity3930 :: ('MESH:D005834', 'Disease') :: ['male urethritis'] @entity458 :: ('MESH:D020018', 'Disease') :: ['sexual health problems'] @entity281 :: ('MESH:D007239', 'Disease') :: ['infections'] @entity1047 :: ('MESH:D002690', 'Disease') :: ['Chlamydia', 'chlamydia']
@entity1 :: (9606,Species) :: ['men']
