PMID: 9634299Jun 20, 1998Paper

Clinical algorithms for the screening of pregnant women for STDs in Libreville, Gabon: which alternatives?

Sexually Transmitted Infections
A BourgeoisE Delaporte

Abstract

Sexually transmitted diseases (STDs) remain one of the major public health problems in the developing world. To implement a systematic screening of STDs among pregnant women in Libreville, Gabon, a preliminary cross sectional study on STD prevalence and risk factors was performed in antenatal clinics. A score, integrating risk factors and elementary clinical signs for the screening of STDs, showed higher performances compared with hierarchical algorithms. The prospective validation of this score based on six criteria (risk factors and simple clinical signs) was done in 1994-5. The sensitivity (76.7%), compared with results from other studies, was acceptable for diagnosing cervical infection (Neisseria gonorrhoeae and/or Chlamydia trachomatis) but the specificity was low (50.6%). In addition, the diagnostic values for diagnosing vaginal infection (Trichomonas vaginalis and/or Candida albicans) were poor. We then proposed to evaluate an alternative flowchart for the screening of cervical and vaginal infections. In this study, 646 pregnant women were enrolled. Each woman was interviewed and examined by a physician and then was subjected to reference laboratory examinations. An algorithm in two steps, combining a risk assessment sc...Continue Reading

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Citations

Jan 12, 1999·Nihon rinsho. Japanese journal of clinical medicine·H Nagai
Apr 18, 2007·BMC Infectious Diseases·Maria RomorenPer Hjortdahl
Apr 13, 2018·Biomedical Microdevices·Audrey L HorstJacqueline C Linnes
Mar 3, 2010·American Journal of Reproductive Immunology : AJRI·Alison J Carey, Kenneth W Beagley
Jan 1, 2001·Suid-Afrikaanse historiese joernaal·A Jeeves
Apr 3, 2003·Sexually Transmitted Diseases·Elizabeth A SullivanJohn Kaldor
Aug 19, 2000·Sexually Transmitted Diseases·A PettiforP Raghunathan
May 11, 2019·International Journal of STD & AIDS·Jacqueline DuncanJ Peter Figueroa

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