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Association of Bartholin cysts and abscesses and sexually transmitted infections
- Source :
- The American Journal of Emergency Medicine. 44:323-327
- Publication Year :
- 2021
- Publisher :
- Elsevier BV, 2021.
-
Abstract
- Introduction Bartholin gland cysts or abscesses account for many gynecologic visits in the emergency department (ED). Previous smaller studies have suggested a link between Bartholin cysts/abscesses and sexually transmitted infections (STIs), but few studies have involved the ED. Methods We retrospectively identified patients aged 18 years or older seen in 1 ED between January 2012 and March 2017 who had urinalysis and urine culture and/or were tested for gonorrhea, chlamydia, or trichomonas by nucleic acid amplification testing. Univariate and multivariate analyses were used to evaluate associations between Bartholin cysts/abscess and demographics, laboratory findings, and ED diagnoses. Results Data were collected for 75,000 ED patients; 64 patients had a diagnosis of Bartholin cyst or abscess, 40 of whom were also tested for Neisseria gonorrhoeae or Chlamydia trachomatis. Ten percent of patients with a Bartholin cyst/abscess were infected with N gonorrhoeae, compared with 3% of those without a Bartholin cyst/abscess (P = .008). The rates of C trachomatis and Trichomonas vaginalis infections were 13% and 26%, respectively, among patients with a Bartholin cyst/abscess, compared with 8% and 30%, respectively, among those without a Bartholin cyst/abscess (P > .05 for both). On regression analysis, only increased urobilinogen level (β, 0.31; odds ratio, 1.36; 95% CI, 1.11–1.66; P = .003) and infection with N gonorrhoeae (β, 1.69; odds ratio, 5.40; 95% CI, 1.43–20.35; P = .01) were associated with a Bartholin cyst/abscess. Conclusions Clinicians in the ED should consider testing patients with a Bartholin cyst/abscess for gonorrhea.
- Subjects :
- Adult
medicine.medical_specialty
Gonorrhea
Sexually Transmitted Diseases
medicine.disease_cause
Severity of Illness Index
Bartholin Cyst
medicine
Humans
Bartholin's Glands
Abscess
Pain Measurement
Retrospective Studies
Gynecology
Bartholin Gland
Chlamydia
Cysts
business.industry
General Medicine
Middle Aged
medicine.disease
Emergency Medicine
Neisseria gonorrhoeae
Female
Trichomonas vaginalis
Vulvar Diseases
Triage
Emergency Service, Hospital
Chlamydia trachomatis
business
Subjects
Details
- ISSN :
- 07356757
- Volume :
- 44
- Database :
- OpenAIRE
- Journal :
- The American Journal of Emergency Medicine
- Accession number :
- edsair.doi.dedup.....29c6d6154d04a15bd4891d62c78b33ec