Document Detail


Direct questioning is more effective than patient-initiated report for the detection of sexually transmitted infections in a primary care HIV clinic in Western Kenya.
MedLine Citation:
PMID:  23324978     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In resource-limited settings, detection of sexually transmitted infections (STIs) often relies on self-reported symptoms to initiate management. We found self-report demonstrated poor sensitivity for STI detection. Adding clinician-initiated questions about symptoms improved detection rates. Vaginal examination further increased sensitivity. Including clinician-initiated screening in resource-limited settings would improve management of treatable STIs.
Authors:
Victoria Gah Hay Woo; Craig R Cohen; Elizabeth A Bukusi; Megan J Huchko
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Sexually transmitted diseases     Volume:  40     ISSN:  1537-4521     ISO Abbreviation:  Sex Transm Dis     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-01-17     Completed Date:  2013-07-09     Revised Date:  2014-02-04    
Medline Journal Info:
Nlm Unique ID:  7705941     Medline TA:  Sex Transm Dis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  158-61     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Algorithms
Ambulatory Care Facilities
Cross-Sectional Studies
Female
Guidelines as Topic
Humans
Kenya / epidemiology
Patient Acceptance of Health Care
Physical Examination / statistics & numerical data
Primary Health Care*
Questionnaires*
Self Report*
Sexually Transmitted Diseases / diagnosis*,  epidemiology,  prevention & control
Vagina* / microbiology,  virology
Vulnerable Populations
Grant Support
ID/Acronym/Agency:
KL2 TR000143/TR/NCATS NIH HHS; KL2/KL2 RR024130-04/RR/NCRR NIH HHS; L30 CA142334/CA/NCI NIH HHS
Comments/Corrections

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