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.
Mots-clés Pascal : Maladie sexuellement transmissible, Homme, Modalité traitement, Programme sanitaire, Algorithme, Méthodologie, Résultat, Zambie, Afrique, Appareil génital mâle pathologie, Appareil génital femelle pathologie
Mots-clés Pascal anglais : Sexually transmitted disease, Human, Application method, Sanitary program, Algorithm, Methodology, Result, Zambia, Africa, Male genital diseases, Female genital diseases
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0461560
Code Inist : 002B05F06. Création : 10/04/1997.