Sökning: onr:"swepub:oai:prod.swepub.kib.ki.se:1946526" >
STD care in Zambia:...
STD care in Zambia: an evaluation of the guidelines for case management through a syndromic approach
-
- Hanson, S (författare)
- Karolinska Institutet
-
Sunkutu, RM (författare)
-
Kamanga, J (författare)
-
visa fler...
-
Hojer, B (författare)
-
- Sandstrom, E (författare)
- Karolinska Institutet
-
visa färre...
-
(creator_code:org_t)
- 2016-06-25
- 1996
- Engelska.
-
Ingår i: International journal of STD & AIDS. - : SAGE Publications. - 0956-4624 .- 1758-1052. ; 7:5, s. 324-332
- Relaterad länk:
-
http://kipublication...
-
visa fler...
-
https://doi.org/10.1...
-
visa färre...
Abstract
Ämnesord
Stäng
- 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.
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
Hitta via bibliotek
Till lärosätets databas