Evaluation of Syndromic Management in Women with Vaginal Discharge in China
- VernacularTitle:利用阴道分泌物病征处理流程图诊断淋球菌和沙眼衣原体感染的研究
- Author:
Qianqiu WANG
;
Daming JIAN
;
Meili TAN
;
Ping YANG
;
Mingying ZHONG
;
Guangju WANG
- Publication Type:Journal Article
- Keywords:
Sexuallytransmitteddiseases;
Syndromicmanagement;
Neisseriagonorrhoeae;
Chlamydiatrachomatis
- From:
Chinese Journal of Dermatology
1995;0(03):-
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveToevaluateourrevisedsyndromicalgorithmforthemanagementinpatientswithvaginaldischargeanddetermineitssensitivity,specificity,andpositivepredictivevalue(PPV).MethodsPatientswithvaginaldischargesyndromewereselectedintheirfirstvisitstotwoSTDclinicsinShanghaiandSichuan.Theyweremanagedaccordingtorevisedsyndromicflowcharts.Theetiologyofthesyndromewasdetectedbylaboratorytesting.ThedatawereanalyzedusingEPIINFOV5.0software.ResultsTherewere27(8.1%)patientswithgonorrhea,57(17.1%)withchlamydialinfection,and18(5.4%)withbothinfectionsin334patientswithvaginaldischarge.Thesensitivitywas70.6%,specificity54.7%,PPV40.7%,andnegativepredictivevalue(NPV)80.9%forthediagnosisofgonorrheaand/orchlamydialinfectionbysyndromicapproach.ConclusionThespecificityandPPVforsyndromicmanagementofvaginaldischargearenotsatisfied.Furthervalidationandrevisionareneededforsyndromicapproachesofvaginaldischarge.
