FP/MCH providers most often see four syndromes: genital ulcer
syndrome in men and women; urethral discharge syndrome in men;
lower abdominal pain syndrome in women; and vaginal discharge
syndrome in women. The degree of accuracy of the algorithms
used for each syndrome varies.
The algorithms for the genital ulcer and urethral discharge
syndromes are good at diagnosing and treating STDs. The algorithm
for the lower abdominal pain syndrome has moderate accuracy.
The vaginal discharge syndrome is problematic. Vaginal discharge
may be due to vaginitis, cervicitis or both. In diagnosing and
treating vaginitis, an infection of the vagina, the algorithm
used for vaginal discharge syndrome has moderate accuracy. In
diagnosing and treating cervicitis, an infection of the cervix,
this algorithm has poor accuracy.
The next section describes algorithms for these four syndromes.
Programs may choose to add STD management services using all
or only selected algorithms. Other STD syndromes that providers
see less frequently will not be discussed.
Learner Note: If locally
developed algorithms are available for these four syndromes,
you may want to use them instead of, or in addition
to, the algorithms presented in the next group of slides.