Presumptive specific clinical diagnosis of genital ulcer disease (GUD) in a primary health care setting in Nairobi.

摘要: During a 12-month period in 1990-1991 Kenya 1076 of 22274 patients (4.8% all over 12 years age) presented at the Langata Health Center Nairobi with symptoms sexually transmitted disease (STD). Researchers analyzed data on 980 these whose records had complete to assess use presumptive specific clinical diagnosis management STDs primary health clinic. 17.1% (168) genital ulcer (GUD). Men were more likely have GUD than women (24.7% vs. 10.4%). Haemophilus ducreyi etiologic agent chancroid was isolated cultures 40% compared 17% those syphilis herpes or lymphogranuloma venereum (LGV) (p = 0.02). The diagnoses two GUDs only weak correlation microbiological and serological 0.13). 24% 31% 6% LGV 4.7% who no tested positive for < 0.001 GUD). Among syndromic high sensitivity (91%) low specificity (24%) predictive value (40%). (25%) higher (87%) (24%). 13% H. did not receive recommended effective drug chancroid. 82% syphilis. Based findings researchers conclude that treatment antimicrobial combinations active against both is better course single drugs based this population.