Open AccessDirect Questioning Is More Effective Than Patient-Initiated Report for the Detection of Sexually Transmitted Infections in a Primary Care HIV Clinic in Western Kenya
Author(s) -
Victoria G. Woo,
Craig R. Cohen,
Elizabeth A. Bukusi,
Megan J. Huchko
Publication year - 2013
Publication title -
sexually transmitted diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.507
H-Index - 105
eISSN - 1537-4521
pISSN - 0148-5717
DOI - 10.1097/olq.0b013e318278bf97
Subject(s) - medicine , primary care , human immunodeficiency virus (hiv) , sexually transmitted disease , family medicine , pediatrics , syphilis
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.