Authors:

Abstract

Introduction: A clinical audit was carried out at STD clinic- Chilaw on management of first episode of anogenital warts.

Objectives: The objective of the audit was to assess the management of patients with first episode of anogenital warts.

Methods: The study population was all newly diagnosed patients with anogenital warts during 2016 in STD clinic, Chilaw (n=68). Patient management and documentation were assessed using a standard questionnaire from British Association for Sexual Health and HIV (BASHH) national audit group.

Results: All patients were managed according to the clinic protocol. First line treatment option was trichloro acetic acid for 91 % of patients. None of the patients had documentation on factors that influenced the choice of treatment or offer of a self-applied method. Documentation of the site of warts was 88% at first visit. However, documentation on extent or description of warts was zero. Only seven percent of females were offered Pap smear. Follow up review was offered and documented in 12% of patients. Outcome of the patient after 3 months was documented in 19% of patients, whereas 53% of patients were loss to follow up. None of the patients had documentation on offering information on genital warts. Condom promotion was done on three percent of patients. No patient was offered partner notification for genital warts. All patients were offered the first line treatment according to the clinic protocol. However, documentation at first visit, offering follow up visits, health education and condom promotion were poor. Therefore, training of doctors to overcome the deficits and re-auditing is recommended.

Keywords: Audit, Genital warts, Management, Sri Lanka