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
Woo, V.Gah.Hay.; Cohen, C.R.; Bukusi, E.A.; Huchko, M.J.
Sexually Transmitted Diseases 40(2): 158-161
2013
ISSN/ISBN: 0148-5717 PMID: 23324978 DOI: 10.1097/olq.0b013e318278bf97Document Number: 574202
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.
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