AEGiS-08IAC: Simplified approaches for diagnosis and treatment of STD in Africa.

8th International AIDS Conference

Amsterdam, Netherlands — July 19-24, 1992

Simplified approaches for diagnosis and treatment of STD in Africa.

Int Conf AIDS 1992 Jul 19-24; 8:We60 (abstract no. WeA 1084)
Ndoye I, Sakho ML, Tardi M, Diaw I, Mbacke KD, Sarr LC, Mboup S; Centre MST de l'IHS, Dakar, Senegal.

OBJECTIVES: To improve the accessibility of diagnosis and treatment of STD.

METHODS: 1. Study on the prevalence of STD, including the importance of antimicrobial resistance. 2. Study on the knowledge and feasibility of algorithms for diagnosis of STD. 3. Cost-efficacy study on the treatment of STD using drugs from the essential drug programme.

RESULTS: 1. High STD prevalences were found among the general population and among high risk groups, such as prostitutes. 2. Algorithms performed best for genital discharge and genital ulcer. 3. Treatment with essential drugs was successful in most cases. Clinical algorithms on 1) genital discharge in men and women and 2) on genital ulcer in men and women have been developed and are now used at the primary and secondary health care level.

CONCLUSIONS: Such a study is necessary and must be conducted in all developing countries experiencing difficulties in establishing a proper diagnosis and an affordable treatment for STD. Using clinical algorithms, the health worker at the primary level can cope with more than 60% of the STD in developing countries.

Keywords: AEGIS, Sexually Transmitted Diseases, Prevalence, Prostitution, Africa, Algorithms, Developing Countries, Delivery of Health Care, Human, Female, Male, diagnosis, therapy, ICA8
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