The sensitivity of a syndromic management approach in detecting sexually transmitted diseases in patients at a public health clinic in Cape Town.

摘要: Objectives. To evaluate the sensitivity of a syndromic diagnostic procedure in detecting and treating sexually transmitted diseases (STDs) genital tract infections (GTIs). Methods. All new patients presenting at an STD clinic were sampled systematically by gender over 6-week period. After patient's clinical consultation, records reviewed. Thereafter all given thorough examination research physician, specimens collected for laboratory investigations. In retrospective simulation clinicians' diagnoses validated against findings, or ulcer syndrome findings physician. Results. 170 men 161 women included sample. Ninety-five per cent black median age was 22 years 26 men. this setting, Western Cape achieved reasonable levels Neisseria gonorrhoeae Chlamydia trachornatis ID women, Trichomonas vaginalis bacterial vaginosis women. However, it estimated to be only 36.4% sensitive ulcers between 0% 12.3% Candida albicans . With management 8.2% 32.9% would leave with least one infection inadequately treated. Conclusions. Despite introduction protocols, is likely that proportion STDs GTIs are not being detected treated owing high prevalence multiple syndromes mixed infections, both symptomatic asymptomatic.