STD care in Zambia: an evaluation of the guidelines for case management through a syndromic approach
| Autor: | Stefan Hanson, E Sandstrom, J Kamanga, B Hojer, R M Sunkutu |
|---|---|
| Rok vydání: | 1996 |
| Předmět: |
Vaginal discharge
Sexually transmitted disease Male medicine.medical_specialty Pediatrics Sexually Transmitted Diseases Zambia Dermatology Disease medicine Humans Pharmacology (medical) biology business.industry Public health Public Health Environmental and Occupational Health medicine.disease biology.organism_classification Surgery Genital ulcer Infectious Diseases Evaluation Studies as Topic Practice Guidelines as Topic Population study Syphilis Female medicine.symptom business Haemophilus ducreyi |
| Zdroj: | International journal of STDAIDS. 7(5) |
| ISSN: | 0956-4624 |
| Popis: | Clinical diagnosis of STDs is unreliable and therefore constitutes a poor basis for choice of treatment. A syndromic approach has been suggested to increase effectiveness of treatment in resource poor settings. Algorithms for the treatment of STD syndromes were evaluated. A total of 436 patients were followed; cure rates were defined and estimated for genital ulcer disease (GUD), urethral and vaginal discharge. Cure rates for the discharge syndromes were high, 97-98%, for both sexes. The cure rate for GUD was 83% for female and 69% for male patients. A higher prevalence of syphilis in the female study population probably contributed to this. It is likely that a large proportion of the treatment failures were due to decreased susceptibility of Haemophilus ducreyi to trimethoprim-sulpha. The determination of cure rates met with a number of methodological problems. This makes it difficult to evaluate the algorithms as part of routine activities, as suggested earlier by WHO. |
| Databáze: | OpenAIRE |
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