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Sexually Transmitted Disease

"Syndromic" Management Results in Overtreatment of STDs in Low Prevalence Areas

Published in AIDS Weekly, November 29th, 1999

Sexually transmitted infections (STIs) are known to increase the rate of transmission of HIV. Therefore, the control of STIs is important, especially in low-income countries.

The World Health Organization (WHO) recommends the use of clinical algorithms in the form of flow charts to diagnose and treat people with symptoms of STIs in less-developed countries where a laboratory diagnosis is not available. In the November 11, 1999, issue of The Lancet, researchers report that this "syndromic" management results in a high rate of overtreatment in areas of low STI prevalence.

Dr. Sarah Hawkes and colleagues from the International Center for Diarrheal...

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