SHELDON GREENFIELD, M.D.; GERALD FRIEDLAND, M.D.; SALLY SCIFERS, R.N.; ARTHUR RHODES, M.D.; W. L. BLACK, Sc.D.; ANTHONY L. KOMAROFF, M.D.
A protocol to be administered by nurses for the management of dysuria, frequent urination, and vaginal discharge was validated. In a randomized, controlled trial, 146 women were seen by both nurse and physician and then assigned to either the nurse-protocol treatment plan or the physician treatment plan. The clinical data collected by the nurse showed no important differences from the physicians' data. The protocol recommended that 89% of the patients be sent home without seeing the physician. The physicians agreed with the protocol-recommended disposition in all but two cases. All patients with complications were appropriately referred to the physician. In follow-up, more than 95% of both groups reported symptomatic improvement, and repeat urine cultures were negative. We conclude that the protocol can be accurately administered, makes sound recommendations, is safe, and efficiently saves physician time.
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GREENFIELD S, FRIEDLAND G, SCIFERS S, RHODES A, BLACK WL, KOMAROFF AL. Protocol Management of Dysuria, Urinary Frequency, and Vaginal Discharge. Ann Intern Med. 1974;81:452–457. doi: 10.7326/0003-4819-81-4-452
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Published: Ann Intern Med. 1974;81(4):452-457.
Healthcare Delivery and Policy, Prevention/Screening.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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