title: [Syndromic management of sexually transmitted infections in health care facilities in Togo: cases reported, 2005-2009].
abstract: OBJECTIVE
  The aim of this study was to evaluate trends in sexually transmitted infections (STI) in Togo.
  
  
  METHODS
  This retrospective descriptive study included all STI cases reported from 2005 through 2009.
  
  
  RESULTS
  During the study period, 241,561 STI cases were recorded in the six health regions of Togo, for an annual frequency of 48,312 cases. The mean age of patients was 27.4 ± 12.6 years, and those aged from 20 to 30 years accounted for 55.4% of all cases. The sex ratio (male/female) was 0.3. The most common STI syndrome was vaginal discharge (57.2%), followed by pelvic inflammatory disease (24%), urethral discharge (12.1%), and genital ulcer disease (5%). During the study period, the proportion of cases involving urethral discharge increased significantly, rising from 4.2‰ in 2005 to 4.5‰ in 2009 (p = 0.02), while the proportion involving genital ulcer disease remained stable (1.6‰ in 2005 and 2009). The proportion of cases involving vaginal discharge and pelvic inflammatory disease decreased significantly.
  
  
  CONCLUSIONS
  Overall, this study shows that the number of STI cases reported by health facilities in Togo was stable from 2005 to 2009. Continued epidemiological surveillance is important to document STI trends as part of the HIV control program.
authors.affiliation: Service de dermato-vénéréologie, Clinique de référence des IST, CHU Tokoin, Université de Lomé, Lomé, Togo.
authors.forename: B
authors.initials: B
authors.lastname: Saka
authors.forename: K
authors.initials: K
authors.lastname: Kombaté
authors.forename: A
authors.initials: A
authors.lastname: Mouhari-Toure
authors.forename: S
authors.initials: S
authors.lastname: Akakpo
authors.forename: D E
authors.initials: DE
authors.lastname: Landoh
authors.forename: A
authors.initials: A
authors.lastname: Abalo-Tchamdja
authors.forename: K
authors.initials: K
authors.lastname: Deku
authors.forename: K
authors.initials: K
authors.lastname: Tchangai-Walla
authors.forename: P
authors.initials: P
authors.lastname: Pitché
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D005260:Female; D006268:Health Facilities; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012749:Sexually Transmitted Diseases / Q000175:diagnosis / Q000453:epidemiology; D013997:Time Factors; D014037:Togo; D055815:Young Adult