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Sexually Transmitted Diseases:
doi: 10.1097/OLQ.0b013e318278bf97

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

Woo, Victoria Gah Hay MD*†; Cohen, Craig R. MD, MPH; Bukusi, Elizabeth A. MBChB, MMed, PhD, MPH†‡; Huchko, Megan J. MD, MPH

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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.

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