International Journal of STD & AIDS · 2008 · 10 citations · 12 references
Veterinary MedicineInfectious DiseasesMicrobiologyDiagnostic MicrobiologyMedical MicrobiologyWomen's HealthBacterial InfectionsGynecologic InfectionsInfection ManagementReproductive Tract InfectionsSexually Transmitted Infection CareSexually Transmitted InfectionsIntegrated Care NetworksIntegrated Care TeamsPositive Predictive ValueSexually Transmitted Bacterial InfectionsSexually Transmitted Infection DiagnosisSexually Transmitted Infection Syndromic ManagementSyndromic ClassificationTrichomonas Vaginalis Cervicitis
The World Health Organization emphasizes an integrated primary care approach using syndromic management of sexually transmitted infections. The objective of our study was to evaluate the quality of care of the syndromic management of sexually transmitted disease in women in Rabta hospital in Tunisia. Algorithms have been developed for: cervicitis due to Neisseria gonorrhoeae or Chlamydia (algorithm 3a), vaginitis due to Trichomonas vaginalis or Chlamydia trachomatis (algorithm 3b) and vaginitis due to Candida (algorithm 3c). A total of 116 women were enrolled in the study during February 2003 to April 2004. The prevalence of each bacterium was Chlamydia (10%), N. gonorrhoeae (1%), Treponema pallidum (1%), T. vaginalis (5%) and Candida (21%). Algorithm '3a' had a sensitivity of 45%, a specificity of 42% and positive predictive value (PPV) of 11.9%. Algorithm '3b' had a sensitivity of 35.7%, a specificity of 68.9% and PPV of 20.8%. Algorithm '3c' had a sensitivity of 12%, a specificity of 88% and PPV of 33.3%. To improve the sensitivity of the syndromic approach, we suggest improving the quality of history taking.
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Frieda Behets, Justin Ranjalahy Rasolofomanana, Kathleen Van Damme et al. · Tropical Medicine & International Health · 2003 · 50 citations
W. A. Riemersma, C. J. C. van der Schee, W I van der Meijden et al. · Journal of Clinical Microbiology · 2003 · 45 citations · Full text