title: Direct questioning is more effective than patient-initiated report for the detection of sexually transmitted infections in a primary care HIV clinic in Western Kenya.
abstract: In resource-limited settings, detection of sexually transmitted infections (STIs) often relies on self-reported symptoms to initiate management. We found self-report demonstrated poor sensitivity for STI detection. Adding clinician-initiated questions about symptoms improved detection rates. Vaginal examination further increased sensitivity. Including clinician-initiated screening in resource-limited settings would improve management of treatable STIs.
authors: Stanford University School of Medicine, Palo Alto, CA, USA.
authors: Victoria Gah Hay
authors: VG
authors: Woo
authors: Craig R
authors: CR
authors: Cohen
authors: Elizabeth A
authors: EA
authors: Bukusi
authors: Megan J
authors: MJ
authors: Huchko
mesh_terms: D000328:Adult; D000465:Algorithms; D000554:Ambulatory Care Facilities; D003430:Cross-Sectional Studies; D005260:Female; D017408:Guidelines as Topic; D006801:Humans; D007630:Kenya / Q000453:epidemiology; D010342:Patient Acceptance of Health Care; D010808:Physical Examination / Q000706:statistics & numerical data; D011320:Primary Health Care; D057566:Self Report; D012749:Sexually Transmitted Diseases / Q000175:diagnosis* / Q000453:epidemiology / Q000517:prevention & control; D011795:Surveys and Questionnaires; D014621:Vagina / Q000382:microbiology / Q000821:virology; D035862:Vulnerable Populations