Current status of syndromic management of sexually transmitted infections in developing countries

Vuylsteke, Béa

doi:10.1136/sti.2004.009407

Cited by 54 publications

(48 citation statements)

References 7 publications

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“…Women who were menstruating at the time of sampling, who were postmenopausal, or who had undergone a hysterectomy were excluded from the study. In South Africa, syndromic management is the national strategy used in the treatment of sexually transmitted infections (STIs) (28,49). This approach uses clinical algorithms based on a woman's clinical signs or symptoms of an STI for nurses in primary health care facilities to treat.…”

Section: Methodsmentioning

confidence: 99%

CD4 T Cell Depletion at the Cervix during HIV Infection Is Associated with Accumulation of Terminally Differentiated T Cells

Gumbi

Jaumdally

Salkinder

et al. 2011

J Virol

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In blood, the accumulation of terminally differentiated (TD) T cells during HIV infection is associated with CD4 T cell loss and HIV disease progression. Here, we investigated the maintenance and functional characteristics of memory T cells at the cervix. We found that CD4 T cell depletion at the cervix mirrors CD4 depletion in blood. In all women, depletion of CD4 T cells at the cervix was associated with significant reductions in

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Section: Methodsmentioning

confidence: 99%

CD4 T Cell Depletion at the Cervix during HIV Infection Is Associated with Accumulation of Terminally Differentiated T Cells

Gumbi

Jaumdally

Salkinder

et al. 2011

J Virol

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“…etiologic and clinical diagnosis) in most service delivery settings. 12,13 Syndromic case management also performs well for common vaginal infections although it is not designed to detect asymptomatic cervical infections. STI screening and case finding are time-tested approaches for identifying asymptomatic infections.…”

Section: Clinical Servicesmentioning

confidence: 99%

Control of sexually transmitted infections and prevention of HIV transmission: mending a fractured paradigm

Steen¹,

Wi²,

Kamali³

et al. 2009

Bull World Health Org

116

103

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Control of sexually transmitted infections (STIs) is feasible, leads to improved sexual and reproductive health and contributes to preventing HIV transmission. The most advanced HIV epidemics have developed under conditions of poor STI control, particularly where ulcerative STIs were prevalent. Several countries that have successfully controlled STIs have documented stabilization or reversal of their HIV epidemics.STI control is a public health outcome measured by reduced incidence and prevalence. The means to achieve this include: (i) targeting and outreach to populations at greatest risk; (ii) promoting and providing condoms and other means of prevention; (iii) effective clinical interventions; (iv) an enabling environment; and (v) reliable data.Clinical services include STI case management, screening and management of STIs in sex partners. Syndromic case management is effective for most symptomatic curable STIs and screening strategies exist to detect some asymptomatic infections. Presumptive epidemiologic treatment of sex partners and sex workers complement efforts to interrupt transmission and reduce prevalence. Clinical services alone are insufficient for control since many people with STIs do not attend clinics. Outreach and peer education have been effectively used to reach such populations.STI control requires effective interventions with core populations whose rates of partner change are high enough to sustain transmission. Effective, appropriate targeting is thus necessary and often sufficient to reduce prevalence in the general population. Such efforts are most effective when combined with structural interventions to ensure an enabling environment for prevention. Reliable surveillance and related data are critical for designing and evaluating interventions and for assessing control efforts.Une traduction en français de ce résumé figure à la fin de l'article. Al final del artículo se facilita una traducción al español. ‫املقالة.‬ ‫لهذه‬ ‫الكامل‬ ‫النص‬ ‫نهاية‬ ‫يف‬ ‫الخالصة‬ ‫لهذه‬ ‫العربية‬ ‫الرتجمة‬ a

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“…In present study we followed WHO syndromic approach guidelines to identify the women suffering with RTI. [8] In the present study, 52% of the symptomatic women did not seek any medical care facilities, 11% of them sort medical help form the pharmacist, 4% of them seek help from the traditional healers,16.2% of them seek advice and treatment from the government hospital and private hospital.8.8% followed home remedies. This was lower than the national (55.6% and 54.1%) Behavior Surveillance Surv Figure 1 shows health seeking behavior of women on RTI symptoms.…”

Section: Discussionmentioning

confidence: 47%

Prevalence and Health Seeking Behavior among Specific Women Group on Reproductive Tract Infection in Rural Community Area of Kancheepuram District, Tamil Nadu: A Cross Sectional Study Report

Suresh¹

2017

IJMPS

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Current status of syndromic management of sexually transmitted infections in developing countries

Cited by 54 publications

References 7 publications

CD4 T Cell Depletion at the Cervix during HIV Infection Is Associated with Accumulation of Terminally Differentiated T Cells

CD4 T Cell Depletion at the Cervix during HIV Infection Is Associated with Accumulation of Terminally Differentiated T Cells

Control of sexually transmitted infections and prevention of HIV transmission: mending a fractured paradigm

Prevalence and Health Seeking Behavior among Specific Women Group on Reproductive Tract Infection in Rural Community Area of Kancheepuram District, Tamil Nadu: A Cross Sectional Study Report

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