 | Sexually Transmitted Diseases (STD) Syndromic Management (AIDSCAP/FHI, 1997, 54 p.) |
 |  | (introduction...) |
| | HOLOGRAPHIC OVERVIEW |
|  | INTRODUCTION |
| | (introduction...) |
| | HIV and STD Global Burden |
| | Role of STD on HIV Transmission |
| | STD SYNDROMIC MANAGEMENT |
| | (introduction...) |
| | Definition |
| | Theoretical Foundation |
| | Advantages and Disadvantages |
| | Cost-Effectiveness |
| | DESIGN OF STD FLOWCHARTS |
| | (introduction...) |
| | Common Flowcharts |
| | (introduction...) |
| | Urethral Discharge Syndrome in Men |
| | Vaginal Discharge Syndrome in Women |
| | Pelvic Inflammatory Disease: The Management of Lower Abdominal Pain |
| | Genital Ulcer Disease |
| | Validity Testing of a Flowchart: Sensitivity and Specificity |
| | OTHER COMPONENTS OF COMPREHENSIVE STD CASE MANAGEMENT |
| | (introduction...) |
| | Partner Treatment |
| | Health Education |
| | Condom Distribution |
| | Adding Strategies |
| | Syphilis Screening and Treatment |
| | Training |
| | INTRODUCTION OF STD SYNDROMIC MANAGEMENT IN LAC |
| | (introduction...) |
| | Haiti |
| | Jamaica |
| | Brazil |
| | Honduras |
| | Dominican Republic |
| | LESSONS LEARNED |
| | (introduction...) |
| | Building Consensus and Communication |
| | Development and Implementation of STD Flowcharts |
| | Improving Access to STD Care |
| | Detecting Asymptomatic STDs |
| | RECOMMENDATIONS |
| | REFERENCES |
Partner Treatment
Partners of patients with an STD are likely to be infected themselves and should be offered treatment. Partner notification and referral can be one of the most important ways to detect and treat asymptomatic patients. Confidentiality, a non-judgmental attitude and the absence of coercion are important for the success of partner notification. The WHO recommends epidemiological treatment (treatment based solely on the diagnosis of the index patient without any laboratory investigation) be given to all partners.23
An important implication of the low positive predictive value of some flowcharts is the over treatment of partners, resulting in unnecessary drugs given and the psychological cost of inappropriate labeling.
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The syndromic approach to STD case management includes a comprehensive public health approach to patient care. |
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