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European Occupational Health Series : Year 1993; Icp, Infection Prevention and Control, Maternal and Child Health, Volume 521, Issue 6: Some Remarks on the Concept of “Sexual Health”

By Preben Hertoft

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Book Id: WPLBN0000019430
Format Type: PDF eBook
File Size: 0.4 MB
Reproduction Date: 2005

Title: European Occupational Health Series : Year 1993; Icp, Infection Prevention and Control, Maternal and Child Health, Volume 521, Issue 6: Some Remarks on the Concept of “Sexual Health”  
Author: Preben Hertoft
Volume:
Language: English
Subject: Health., Public health, Wellness programs
Collections: Medical Library Collection, World Health Collection
Historic
Publication Date:
Publisher: World Health Organization

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Hertoft, P. (n.d.). European Occupational Health Series : Year 1993; Icp, Infection Prevention and Control, Maternal and Child Health, Volume 521, Issue 6. Retrieved from http://worldebooklibrary.com/


Description
Medical Reference Publication

Excerpt
The magnitude of the problem of sexually transmitted diseases (STDs) in the Rcgion is ~lnclear. Hcalth care professionals know that STDs occur and that they contribute significantly to the workload of health care providers in both the public and private sectors, but since a system of reporting of STD is not followed, the true size of the epidemic is not known'. Reports produced by different countries within the Region indicate that the range of STDs encountered includes gonococcal and nongonococcal urethritis, syphilis, chancroid, genital herpes, granuloma inguinale, lymphogranuloma venereum, scabies and genital warts. Sornc countries in the Region have produced treatment guidclincs, while the WHO Eastern Mcditc~.~.nncaRn egional Office has embarked on an exercise of training key persons from diffcrcnt parts of the Region in the comprehensive management of STD using the syndromic case nlanagemcnt approach. It was comnron practice in most countries in the Region to treat people with STDs after a clinical or etiologic diagnosis had been made. However, recently, the syndronlic approach to the diagnosis and managcmcnt of people with STDs has been adopted. In some centrcs the diagnosis is rnadc after simple laboratory tests, such as a microscopic examination of Gram-stained smears, have been carried out. Gonococcal cultures are not usually performed and hence neither the pattcrn of antimicrobial sensitivity of gonococci nor the prevnlcnce of per~icillinasc-prod~~cisntgra ins of Neisseria gortorrhoeae are known. Specific tests for the diagnosis of chlamydia1 infection are complex and require sophisticated technology and have thcr~cforc not been carried out in most parts of the Rcgion. Data on syphilis, as assessed by positive serological tests, indicate a significant prevalence of the infection amongst pregnant women and blood donors in some countries. However, this test is not carried out routinely in all pt'cgnant women throughout the Region. In gcnct,al it may be stated that the pattern of STDs, the etiology of STD syndromes and the antimicrobial sensitivity pattern ol: pathogens arc not known and need to be assessed. One study carried out in Egypt in 1996 indicates that gonorrhoea and syphilis are the common infections detected amongst men attending an STD clinic in Cairoz. This study of 95 patients rcportcd that rnixed infections were commonly encountered. In a study carried out in Morocco, 1238 women attending a primary health care centre and a family planning clinic wcrc investigated for STD3. In this study gonococcal andlor chlamydia1 cervicitis was found in 7.5% of women while vaginitis caused by trichomoniasis and/or bacterial vaginosis was found in 26.7%.

Table of Contents
CONTENTS I . INTRODUCTION I 2. CARRYING OUT THE STUDY 3 2.1 Study objectives 3 2.2 Mcthods 3 3. DATA ENTRY AND ANALYSIS 6 4. LOGISTICAL SUPPORT AND SUPPLIES 6 Anncxes I . INTERVIEW AND EXAMINATION 9 2. HOW TO CONDUCT THE INTERVIEW, EXAMINE THE PATIENT AND TAKE LABORATORY SPECIMENS 12 3. SPECIMEN COLLECTION 18 4. LABORATORY TESTS AND MSULTS 20 5. RESULTS OF TESTS 22 6. HIV TEST RESULTS 23

 

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