The hidden problem in emergency department STI care: Overtreating men, undertreating women

When I work shifts in the emergency department, I often find myself weighing two imperfect options for patients who might have a sexually transmitted infection. Should I administer antibiotics “just in case,” or wait for lab results to process a day or two later and risk the patient not returning for antibiotics? Based on national guidelines, the ED tends to swing toward coverage.

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