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STD care in Zambia:...
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Hanson, SKarolinska Institutet
(författare)
STD care in Zambia: an evaluation of the guidelines for case management through a syndromic approach
- Artikel/kapitelEngelska1996
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2016-06-25
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SAGE Publications,1996
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LIBRIS-ID:oai:prod.swepub.kib.ki.se:1946526
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http://kipublications.ki.se/Default.aspx?queryparsed=id:1946526URI
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https://doi.org/10.1258/0956462961918211DOI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:art swepub-publicationtype
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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.
Biuppslag (personer, institutioner, konferenser, titlar ...)
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Sunkutu, RM
(författare)
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Kamanga, J
(författare)
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Hojer, B
(författare)
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Sandstrom, EKarolinska Institutet
(författare)
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Karolinska Institutet
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:International journal of STD & AIDS: SAGE Publications7:5, s. 324-3320956-46241758-1052
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