Background. The analysis of practice and quality of patients’ management in dermatovenereological institutions is an important tool for developing new approaches to the management of patients with sexually transmitted infections (STIs).

OBJECTIVE

To assess the quality of health care delivery to patients with STIs in dermatovenereological institutions of Moscow according to retrospective analysis of medical records for 2020—2022.

MATERIAL AND METHODS

The study object — 390 outpatient medical records of patients with STIs (N. gonorrhoeae, C. trachomatis, M. genitalium, and T. vaginalis) identified in Moscow Scientific and Practical Center of Dermatovenereology and Cosmetology («Lublinsky» and «Cheryomushkinsky» branches) for 2020—2022. The identification of STIs causative agents was carried out with real-time PCR. Descriptive statistics methods, calculation of Pearson’s chi-squared test (χ²), Microsoft Excel 2019 software were used for statistical processing of the material.

RESULTS

Among 390 patients, 78.7% complained about pathological discharge from the genitourinary organs; 16% of the patients applied for a preventive examination. A prevalence of gonococcal infection (31.4%) has been found in men, of chlamydial (38.1%) — in women; opportunistic pathogens have been identified in 89.7% of patients. Treatment efficacy has been 93%, thus compliance of used treatment regimens to current clinical guidelines in M. genitalium infection has been 74.3%, in trichomoniasis — 72%, in Gonococcal infection — 48%, in chlamydial infection — 0%.

CONCLUSION

The analysis results show that organizational and methodological measures are needed to optimize health care delivery to patients with STIs.