Venereal Disease in Vietnam: Clinical Experience at a Major Military Hospital

Shapiro, Stephen R.; Breschi, Louis C.

doi:10.1093/milmed/139.5.374

Cited by 6 publications

(3 citation statements)

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“…The frequency of chancroid was found to be comparable to, or higher than, that reported from South-East Asia [8,9] and India [7,11]. In keeping with other STDs, it was more common in the sexually vulnerable age-group.…”

Section: Discussionsupporting

confidence: 64%

Chancroid or Chancroidal Ulcers

Sehgal¹,

Prasad²

1985

Dermatology

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1532 cases with genital ulcers were investigated, of whom 610 presented with features suggestive of chancroid; classic, multiple lesions of chancroid were observed in 312, while its other variants, i.e. dwarf, giant and phagedaenic chancroid were also seen. In addition, 162 cases had a conspicuous morphology characterised by a single ulcer which was well-defined, soft, tender, non-indurated and had weakening edges. These were termed chancroidal ulcers. The latter had a longer incubation period of 8–11 days. Absence of lymphadenopathy was prominent in these cases. The male/female ratio was 27/1. Persons of low socio-economic status in the sexually vulnerable age-group were predominantly affected. The prepuce, coronal sulcus and glans penis were the common sites of affliction in males, while the labia minora was frequently involved in females. Due to the limited value of gram-stained smears for the detection of H. ducreyi and lack of good culture media, chancroid and chancroidal ulcers should be differentiated clinically.

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Section: Discussionsupporting

confidence: 64%

Chancroid or Chancroidal Ulcers

Sehgal¹,

Prasad²

1985

Dermatology

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“…Despite increased morbidity rates, merely 1% of patients diagnosed with STD's required hospitalization. Modern therapy of STD's, unlike medical treatment provided at the beginning of the 20 th century, does not generally require a patient to be hospitalized and the majority of cases are diagnosed and treated on the outpatient basis (Deller et al, 1982;Shapiro & Breschi, 1974 (Shapiro & Breschi, 1974). The incidence of gonorrhea accounted for 90% of all STD's diagnosed in the U.S.…”

Section: Vietnam Warmentioning

confidence: 99%

Sexually Transmitted Infections Among Army Personnel in the Military Environment

Korzeniewski¹

2012

Sexually Transmitted Infections

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“…Shapiro et al (1974) argued that the Vietnam War was also accompanied by an increase in the incidence of STIs. In a review of clinical cases presented to a major military hospital in the war zone in Vietnam from November 1970 to October 1971, new cases of gonorrhea were diagnosed on average 292 times per month (Shapiro et al 1974). …”

Section: History Of Sexual Health and The Defence Forcesmentioning

confidence: 99%

A study of Chlamydia trachomatis: sexual risk behaviour, infection and prevention in the Australian Defence Force

Lambert¹

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There is limited research in Australia focusing on C. trachomatis infection at a population level utilising systematic non-random recruitment methodologies. In addition, little is known in the Australian Defence Force (ADF) about the prevalence of C. trachomatis and of risk behaviours that may impact on sexual health. This study utilised an existing process in the ADF, the Annual Health Assessment, to source new information about C. trachomatis infection and about sexual risk and behaviour. The outcomes of this research may assist the ADF to maintain the health of personnel and consequently a high degree of operational preparedness, and may contribute to the understanding of C. trachomatis prevalence in Australia and across the world.The aims of this study were to determine the prevalence of C. trachomatis infection and to identify potential high risk populations in the ADF with a view to discussing secondary prevention interventions for the control of C. trachomatis infection within the ADF.Seven hundred and thirty-three ADF personnel were recruited into the study over a 24 month period. Participants were asked to complete an 8 page comprehensive survey about sexual behaviour and to provide a urine sample to be tested for C. trachomatis. Ethics approval was received from both the Australian Defence Human Research EthicsCommittee and the University of Queensland Medical Research Ethics Committee.The study examined ADF personnel on deployment and on base in order to provide a comparison of populations across varying work environments. Similarly, this study examined ADF personnel who had recently taken a course of doxycycline for malaria prophylaxis as part of deployment and those who had not in order to assess whether the prophylactic use of antibiotics for other purposes may have had an effect on the acquisition of C. trachomatis. This study enrolled participants from the three services in the ADF, the army, navy and air force, across 10 sites in Australia and four deployments to obtain a wide cross section of the ADF population. The findings from this study provide a profile of ADF sexual health and sexual behaviour that is comparable to the Australian population and identifies, in some instances, greater levels of safe practice and lower levels of risk behaviour. Additionally, the ADF has a lower prevalence of C. trachomatis This study examined rates of attendance at health services for sexual health concerns.18.12% (age and gender adjusted) of participants indicated they attended a health service for a sexual health concern in the previous 12 months. Females were significantly more likely to attend a health service than males (26.45% vs 16.52%; p=0.005; OR 1.81 95% CI 1.19-2.76) for a sexual health matter. Participants were three times more likely to attend an ADF health service for testing and treatment of an STI than to attend a civilian health service (16.4% vs 5.61% p<0.0001). Those who engaged in some unsafe sex were significantly more likely to attend a health service for a sexual health matter ...

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Venereal Disease in Vietnam: Clinical Experience at a Major Military Hospital

Cited by 6 publications

References 0 publications

Chancroid or Chancroidal Ulcers

Chancroid or Chancroidal Ulcers

Sexually Transmitted Infections Among Army Personnel in the Military Environment

A study of Chlamydia trachomatis: sexual risk behaviour, infection and prevention in the Australian Defence Force

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