Sexually transmitted diseases · 2003
Assessment of the validity of and adherence to sexually transmitted infection algorithms at a female sex worker clinic in Abidjan, Côte d'Ivoire.
СтатьяПоддержка исследования: вне правительства СШАВалидационное исследованиеНазвание и аннотация: Перевод в очереди
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Vuylsteke Bea L, Ettiègne-Traore Viginie, Anoma Camille K, Bandama Claude, Ghys Peter D, Maurice Chantal E, Van Dyck Eddy, Wiktor Steffan Z, Laga Marie
Аннотация
BACKGROUND: Algorithms for sexually transmitted infection (STI) case management were designed in a female sex worker (FSW) clinic in Abidjan, Côte d'Ivoire, in 1993.
GOAL: The goal was to evaluate the long-term validity of the algorithms for returning clients of the clinic and to assess the adherence of the health workers to their application.
STUDY DESIGN: A cross-sectional study was conducted from 1999 to 2000 among FSWs attending as returning clients.
RESULTS: The prevalences of genital infections were as follows: Neisseria gonorrhoeae and/or Chlamydia trachomatis, 8.2%; Trichomonas vaginalis, 16.7%; bacterial vaginosis, 62.3%; and Candida albicans, 6.2%. The sensitivity of the algorithms was 20% and the positive predictive value was 14% for cervical infection. The proportion of cases for which all steps of the algorithm were correctly applied was 30%.
CONCLUSION: Algorithms for the treatment of STIs in FSWs should be periodically reevaluated and adapted to the changing population. To maintain healthcare workers' adherence to the algorithms, supervision should be ongoing and reinforced.
GOAL: The goal was to evaluate the long-term validity of the algorithms for returning clients of the clinic and to assess the adherence of the health workers to their application.
STUDY DESIGN: A cross-sectional study was conducted from 1999 to 2000 among FSWs attending as returning clients.
RESULTS: The prevalences of genital infections were as follows: Neisseria gonorrhoeae and/or Chlamydia trachomatis, 8.2%; Trichomonas vaginalis, 16.7%; bacterial vaginosis, 62.3%; and Candida albicans, 6.2%. The sensitivity of the algorithms was 20% and the positive predictive value was 14% for cervical infection. The proportion of cases for which all steps of the algorithm were correctly applied was 30%.
CONCLUSION: Algorithms for the treatment of STIs in FSWs should be periodically reevaluated and adapted to the changing population. To maintain healthcare workers' adherence to the algorithms, supervision should be ongoing and reinforced.
Предметные рубрики MeSH
AdolescentAdultAlgorithmsCase ManagementCote d'IvoireCross-Sectional StudiesDecision TreesFemaleGuideline AdherenceHumansMiddle AgedPractice Guidelines as TopicPredictive Value of TestsPrevalenceReproducibility of ResultsSensitivity and SpecificitySex WorkSexually Transmitted DiseasesSurveys and Questionnaires