Patient and Provider Demographics and the Management of Genitourinary Tract Infections in the Emergency Department
Table 6
Multivariable logistic regression for associations between discordance between gonorrhea and chlamydia test results and empiric ED treatment (vs. concordance).
Variables
Comparison groups
Reference levels
OR (95% CI)
value
Age (years)
18–28
≥62
0.19 (0.06, 0.49)
0.002
29–39
≥62
0.25 (0.07, 0.65)
0.01
40–50
≥62
0.27 (0.08, 0.71)
0.02
51–61
≥62
0.24 (0.07, 0.65)
0.01
Race
Black/African American
Asian/other
0.59 (0.32, 1.00)
0.06
White
Asian/other
0.75 (0.40, 1.31)
0.33
Marital status
Separated/divorced
Married/life partner
0.57 (0.41, 0.81)
0.002
Single
Married/life partner
0.65 (0.52, 0.81)
<0.001
Widowed
Married/life partner
2.5 (0.70, 16.30)
0.23
Documented primary care physician
Yes
No
1.09 (0.95, 1.25)
0.24
Pregnant
Yes
No
2.66 (2.30, 3.10)
<0.001
Emergency severity index
3
1-2
0.96 (0.65, 1.39)
0.84
4-5
1-2
0.94 (0.63, 1.38)
0.77
Mechanism of ED arrival
Private vehicle
EMS/police
1.08 (0.88, 1.33)
0.45
Public transport/on foot
EMS/police
1.11 (0.83, 1.50)
0.48
Sex of primary ED provider
Male
Female
0.99 (0.88, 1.10)
0.82
Training level of primary ED provider
Attending only
APP
1.05 (0.91, 1.20)
0.53
Attending plus resident
APP
0.91 (0.79, 1.05)
0.21
Source of urine sample
Not documented
Clean catch/voided
1.29 (1.04, 1.61)
0.02
Other
Clean catch/voided
1.27 (0.57, 3.24)
0.58
Bacteria (urinalysis)
1-unit increase
1.04 (0.99, 1.09)
0.16
Blood (urinalysis)
1-unit increase
1.15 (1.09, 1.22)
<0.001
Glucose (urinalysis)
Positive
Negative
1.27 (0.97, 1.69)
0.09
Ketones (urinalysis)
Positive
Negative
1.04 (0.91, 1.20)
0.57
Leukocyte esterase (urinalysis)
1-unit increase
0.84 (0.79, 0.89)
<0.001
Mucous (urinalysis)
1-unit increase
1.00 (0.96, 1.04)
0.98
Nitrite (urinalysis)
Positive
Negative
0.85 (0.67, 1.09)
0.19
Protein (urinalysis)
Positive
Negative
0.98 (0.87, 1.10)
0.77
RBCs (urinalysis)
1-unit increase
1.00 (1.00, 1.00)
0.19
WBC clumps (urinalysis)
Present
Negative
0.91 (0.71, 1.17)
0.47
WBCs (urinalysis)
1-unit increase
1.00 (0.9964, 1.0016)
0.46
Yeast (urinalysis)
Present
Absent
1.77 (1.22, 2.63)
0.004
CFU/mL on urine culture
≥10,000
<10,000
1.11 (0.88, 1.40)
0.38
No urine culture done
<10,000
0.77 (0.62, 0.94)
0.01
Clue cells (vaginal wet mount)
Not performed
Negative
1.86 (0.75, 4.64)
0.18
Present
Negative
0.83 (0.75, 0.93)
<0.001
WBC (vaginal wet mount) (cells/HPF)
11–100
≤10
0.71 (0.64, 0.79)
<0.001
Not performed
≤10
1.00 (0.50, 1.91)
>0.99
Yeast (vaginal wet mount)
Not performed
Negative
0.77 (0.28, 2.04)
0.60
Present
Negative
1.38 (1.11, 1.7)
0.004
T. vaginalis NAAT
No test result
Negative
1.02 (0.90, 1.16)
0.78
Positive
Negative
0.60 (0.45, 0.80)
<0.001
Diagnosed with a UTI in the ED
Yes
No
1.11 (0.96, 1.29)
0.16
Trichomonas found during the ED encounter
Vaginal wet mount not performed
Negative for T. vaginalis infection during ED encounter
1.55 (0.64, 3.79)
0.33
Positive for T. vaginalis during the ED encounter
Negative for T. vaginalis infection during ED encounter
