Symptoms of reproductive-tract infection—not all that they seem to be
1999; Volume: 354; Issue: 9192 Linguagem: Inglês
10.1016/s0140-6736(99)00272-x
ISSN0099-5355
Autores Tópico(s)Adolescent Sexual and Reproductive Health
ResumoControl of sexually transmitted diseases (STD) is an important strategy in the prevention of HIV infection. In the syndromic approach to the treatment of STD, primary-health-care workers are trained to treat men and women who have symptoms on the basis of management guidelines. As Mertens and colleagues 1 Mertens TE Davey Smith G Kathanraj K Mugrditchian D Radhakrishnan KM Observations of sexually transmitted disease consultations in India. Publ Health. 1998; 112: 123-128 Summary Full Text PDF PubMed Google Scholar have pointed out, validation of this approach within the south Asian context is essential, since the syndromic approach was developed and tested in countries where the prevalence of STD is high. Reproductive-tract infections in women in low-income, low-prevalence situations: assessment of syndromic management in Matlab, BangladeshThe high rate of overtreatment in the population studied carries both financial and social costs- the latter in potentially exposing women misdiagnosed as having an STI to threats of domestic disruption or even violence. We make recommendations for management programmes in areas of low STI prevalence and low income. Full-Text PDF
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