Management of patients with sexually transmitted diseases : report of a WHO Study Group [meeting held in Geneva from 3 to 6 July 1990]
Other TitlesPrise en charge des patients atteints de maladies sexuellement transmissibles : rapport d' un Groupe d' étude de l' OMS [réuni à Genève du 3 au 6 juillet 1990]
Atención a los pacientes con enfermedades de transmisión sexual : informe de un Grupo de Estudio de la OMS [se reunió en Ginebra del 3 al 6 de julio de 1990]
AbstractSets out practical measures for dealing with the growing public health problems caused by sexually transmitted diseases, including HIV infection. Addressed to the clinicians and auxiliary health workers who diagnose and treat patients, the book concentrates on the many things that can be done, even under highly imperfect conditions, to help realize the twin goals of reducing transmission and preventing morbidity. Although recommended lines of action have universal relevance, the book pays special attention to conditions in developing countries, where use of existing primary health care services promises to be the most realistic way to attract and treat more patients. Throughout, improved diagnosis and treatment are regarded as the cornerstone for better control, though readers are reminded that transmission will be reduced only when patient management is supported by counselling, health education, and partner notification. To this end, the book presents four basic strategies for the control of sexually transmitted diseases and then discusses these in terms of the clinical and support services needed to reach more patients with higher-quality care. While stressing the advantages gained when services are integrated with primary care or with programmes for the prevention of HIV infection and AIDS, the book also alerts its readers to the many obstacles to be overcome in countries where funds and facilities are limited, where patients often seek treatment outside the official health services, and where many low-cost treatments have been rendered useless by the spread of antimicrobial resistance. To improve management, even under such circumstances, the main part of the book presents model management protocols for each of 15 clinical syndromes and problems commonly seen at the primary health care level. These syndrome-based protocols, which were finalized after close to ten years of field testing and revision, are intended to help the non-specialist clinician make a diagnosis and initiate treatment based on the epidemiological, clinical and therapeutic information available. Each protocol, which is presented in the form of a flow-chart, is accompanied by a brief definition of the syndrome, a note about its importance, and a description of etiological features, followed by a summary of the clinical observations and laboratory findings that should guide management plans. Where appropriate, alternative management protocols are provided for use in facilities lacking basic laboratory support. Other sections explain how to adapt and implement the model protocols, describe several cost-effective tests that can facilitate case finding, and provide guidelines for partner notification, for counselling and health education, and for choosing among the various methods of case-reporting and surveillance. Further practical information is provided in a series of five annexes. The most detailed of these set out recommended laboratory and microscopic diagnostic tests that should be available at different levels of health care, and outline treatment schedules for twelve common diseases. The remaining annexes present a simplified algorithm for the detection and management of HIV infection, provide model forms for etiology-based and comprehensive syndrome-based reporting, and outline the instructions that should be given to condom users
WHO Study Group on Management of Sexually Transmitted Diseases Patients & World Health Organization. (1991). Management of patients with sexually transmitted diseases : report of a WHO Study Group [meeting held in Geneva from 3 to 6 July 1990]. Geneva : World Health Organization. http://www.who.int/iris/handle/10665/40873
WHO technical report series ; no. 810
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Condom acceptability and use among patients attending sexually transmitted diseases (STD clinic / Christine Sekadde-Kigondu ... [et al.] Sekadde-Kigondu, Christine; Ogutu, J. O; Nyonyintono, R. M; Ojwang, S. B. O; Sanghvi, H. C. G; Muthami, L. M; Nyagero, J. M; WHO Special Programme of Research, Development and Research Training in Human Reproduction (1994)
Risk profiles for sexually transmitted diseases among patients attending the venereal disease clinic at Alexandria Main University Hospital Mostafa, S.R.; Roshdy, O.H. (1999)Risk factors for sexually transmitted diseases [STDs] were assessed among 54 male and 36 female patients attending a venereal disease clinic. Sociodemographic data and information on sexual behaviour/STD history were collected. Patients were examined and specimens taken for laboratory diagnosis. Multivariate logistic regression analysis revealed that the significant predictors of genital infections among the male patients were: being unmarried, having multiple sexual partners, exposure to a symptomatic sexual partner, high frequency of intercourse ...
Prise en charge des patients atteints de maladies sexuellement transmissibles : rapport d' un Groupe d' étude de l' OMS [réuni à Genève du 3 au 6 juillet 1990] WHO Study Group on Management of Sexually Transmitted Diseases Patients; World Health Organization (1991)Ce rapport propose un certain nombre de mesures pratiques pour faire face aux difficultés toujours plus nombreuses que les maladies sexuellement transmissibles, y compris l'infection à VIH, ne manquent pas de susciter en santé publique. S'adressant aux cliniciens ainsi qu'aux auxiliaires de santé chargés d'établir un diagnostic et de soigner les malades, ce livre s'attache tout particulièrement à définir les nombreuses mesures qu'il convient de prendre, même dans des conditions très éloignées de la perfection, pour essayer d'atteindre ...