Sexually transmitted infections in a basic healthcare clinic in Dhaka, Bangladesh: syndromic management for cervicitis is not justified

Prevalence of sexually transmitted infections among adolescents in Kampala, Uganda, and theoretical models for improving syndromic management

“…Bogaerts et al found in Bangladesh that the syndromic management of adult women with AVD was ineffective in finding cervical infections [24]. Others have tried to improve flowcharts by using risk scores to predict vaginal and cervical infections [25].…”

Prevalence of sexually transmitted infections and performance of STI syndromes against aetiological diagnosis, in female sex workers of red light area in Surat, India

“…Thus, syndromic management for individual cervicitis is not very useful, as is reported by others. [17][18][19][20] Though the cardinal sign for NG and CT infection, according to syndromic case management guidelines, 21 is discharge from the cervix, if the risk assessment is positive (that is, if the sexual partner has urethral discharge or genital ulcer-a criterion which is rather difficult to follow in case of female SWs because of high rate of partner change), all women with vaginal discharge should be treated for NG and CT infections, as the sensitivity of VDS was 54% for laboratory confirmed cases of cervicitis, while syndromic diagnosis of cervicitis was a sensitivity of only 41.7%. Simultaneous treatment for trichomoniasis will cover 65.8% cases having any of these three STIs and in such cases the higher PPV will justify the cost of treatment, in spite of poor performance of syndromic management.…”

Low prevalence of cervical infections in women with vaginal discharge in west Africa: implications for syndromic management

“…15 Such findings are comparable to those reported from Bangladesh, where the prevalence of cervical infections was similar in women complaining of vaginal discharge and in women attending antenatal clinics, family planning clinics, or consulting for pregnancy interruption. 19 Given this low prevalence, it will be impossible to locally identify, in west Africa, risk factors that are predictive of cervical infections. Among our sample of 726 participants with vaginal discharge, only 2/31 (6%) women with NG/CT reported that their partner had a urethral discharge.…”