logo BDSP

Base documentaire

  1. STD care in Zambia : an evaluation of the guidelines for case management through a syndromic approach.

    Article - En anglais

    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

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0461560

    Code Inist : 002B05F06. Création : 10/04/1997.