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. 2013 Feb;40(2):158-61.
doi: 10.1097/OLQ.0b013e318278bf97.

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

Victoria Gah Hay Woo  1 , Craig R Cohen, Elizabeth A Bukusi, Megan J Huchko
Affiliations

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

Victoria Gah Hay Woo et al. Sex Transm Dis. 2013 Feb.

Abstract

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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Conflict of interest statement

Statement of disclosure: No conflict of interest exists for any of the authors.

Figures

Figure 1
Figure 1
Study schematic depicting the order of evaluation methods for diagnosis of STIs in HIV-infected women in Western Kenya.
Figure 2
Figure 2
Sensitivity, specificity, and positive predictive value of 4 evaluation methods for diagnosis of STIs: self-report in response to general health question at a routine visit, brief prompt defined as a single screening question: detailed prompt defined as specific questions targeted toward STI detection, and clinical examination defined as genital examination with speculum.
See this image and copyright information in PMC

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