P2.178 Condyloma Acuminata, Treatment with Liquid Nitrogen and TCA

Abstract

examination. And on rectal smear microscopy, 31.5% had pus cells (OR 2.16, p < 0.001) and 44.1% had gramme negative diplococci with/without pus cells (OR 1.60, p = 0.016).Algorithms using ano-rectal symptom as entry point had poor sensitivity (0.8%). The algorithm using receptive anal sex and/or complaint of ano-rectal discharge as the entry point, and subsequently using proctoscopic and/or rectal smear findings had a sensitivity, specificity and positive predictive value of 41.7, 66.3 and 17.5, respectively. By adding risk assessment, the algorithm performance values changed to 81.9, 20.1 and 14.9, respectively. Conclusion Effectiveness of flow-charts for syndromic management of ARD is constrained by the asymptomatic nature of rectal NG/CT. Algorithms including receptive anal sex at entry point and applying risk assessment, clinical and rectal smear examination may be useful for management of rectal NG/CT in resource limited settings, until cheaper, reliable and feasible laboratory tests are made available. DysPareunia among Women ageD 40 to 60 years infecteD With hiV