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Sexually Transmitted Diseases
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Goals

Section 1
Section 2
Section 3

- Topics
- Introduction
- Objectives
- Approaches
- Laboratory
- Clinical
> Syndromic
- Syndromic
- Strengths
- Weaknesses
- Accuracy
- Genital Ulcer
- Algorithm
- Urethral
- Algorithm
- Vaginal
- Vaginitis
- Cervicitis
- Algorithms
- Algorithms
- Algorithms
- Abdominal
- PID
- Algorithm
- Algorithm
- Other Issues
- Treatment
- Screening
- The Four Cs
- Resources
- HIV Testing
- Vaccination
- Preliminary
- Summary

Summary

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Section 3 - STD Management

Syndromic Approach

  • Main STDs classified by clinical sydnrome

  • Algorithms guide diagnosis and treatment

  • Client treated for all major causes of syndrome

  • Algorithms should be adapted to local STD prevalence

Slide 54


The syndromic approach to diagnose and treat STDs has four distinctive features.

  • The main STDs are classified by clinical syndrome, a constellation of symptoms described by the patient and signs identified by the provider.

  • Algorithms, also called “flow-charts,” are used to guide providers in diagnosing and treating diseases within a particular syndrome.

  • Clients are generally treated for all possible major causes of the syndrome, rather then just one cause. If a client has a genital ulcer, for example, the syndromic management algorithm guides the provider to treat for both syphilis and chancroid.

  • Algorithms should be adapted to local situations, based primarily on prevalence of various STDs. This can help a provider reduce overtreatment. For example, with the genital ulcer syndrome situation mentioned above, if there are virtually no cases of chancroid reported in the region, the treatment of this syndrome might focus only on syphilis.
 

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