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Syndromic versus laboratory-based diagnosis of cervical infections among female sex workers in Benin

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dc.contributor.author Mukenge-Tshibaka, L. en_US
dc.contributor.author Alary, M. en_US
dc.contributor.author Lowndes, C. M. en_US
dc.contributor.author Van Dyck, E. en_US
dc.contributor.author Guédou, A. en_US
dc.contributor.author Geraldo, N. en_US
dc.contributor.author Anagonou, S. en_US
dc.contributor.author Lafia, E. en_US
dc.contributor.author Joly, J. R. en_US
dc.date.accessioned 2007-12-06T14:47:39Z
dc.date.available 2007-12-06T14:47:39Z
dc.date.issued 2002 en_US
dc.identifier.issn 0148-5717 en_US
dc.identifier.other ITG-M4A en_US
dc.identifier.other MICRO en_US
dc.identifier.other U-HIVSTD en_US
dc.identifier.other JIF en_US
dc.identifier.other ABSTRACT en_US
dc.identifier.uri http://hdl.handle.net/10390/1872
dc.description.abstract BACKGROUND: The syndromic diagnostic approach is the most realistic and cost-effective strategy for controlling sexually transmitted infections (STIs) in the developing world. Its potential advantages should be evaluated. GOAL: The goal of the current study was to examine whether the syndromic approach might diagnose more cases of cervicitis due to Neisseria gonorrhoeae or Chlamydia trachomatis than laboratory tests. STUDY DESIGN: The participants were 481 female sex workers in Benin, screened for STIs and treated on the basis of the clinical findings. They were asked to return to the clinic within 10 days for laboratory test results and appropriate treatment when necessary. RESULTS: The prevalence of cervical infections was 24.5%. In comparison to the gold standard, the sensitivity of the syndromic diagnosis approach for the detection of N gonorrhoeae/C trachomatis infections was 48.3%; that of the locally performed laboratory tests was 74.6%. However, the sensitivity of the laboratory tests dropped to 28.8% when it was taken into consideration that 57.6% of the infected women did not return to the clinic within 10 days. CONCLUSIONS: The syndromic diagnosis approach should continue to be used for female sex workers in Benin because returning for treatment is problematic. Presumptive treatment at their initial visit could be a complement to this approach, given the high prevalence of cervicitis in this population. en_US
dc.language English en_US
dc.subject Sexually transmitted diseases en_US
dc.subject STD en_US
dc.subject Cervicitis en_US
dc.subject Prostitutes en_US
dc.subject Prevalence en_US
dc.subject Clinical diagnosis en_US
dc.subject Signs and symptoms en_US
dc.subject Laboratory diagnosis en_US
dc.subject Sensitivity en_US
dc.subject Evaluation en_US
dc.subject Treatment en_US
dc.subject Follow-up en_US
dc.subject Benin en_US
dc.subject Africa, West en_US
dc.title Syndromic versus laboratory-based diagnosis of cervical infections among female sex workers in Benin en_US
dc.type Article en_US
dc.citation.jtitle Sexually Transmitted Diseases en_US
dc.citation.volume 29 en_US
dc.citation.pages 324-330 en_US
dc.identifier.pmid http://www.ncbi.nlm.nih.gov/pubmed/12035021
dc.citation.jabbreviation Sex Transm Dis en_US


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