Marginal validity of syndromic management for reproductive tract infections among pregnant women in Jamaica.

Abstract:

:We assessed the validity of a syndromic case management approach for reproductive tract infections (RTIs) among 371 pregnant women attending antenatal care facilities in Kingston, Jamaica, using an algorithm previously validated in high-risk Jamaican women. For our antenatal attenders, the algorithm had low sensitivities for all RTIs (66.7% for cervicitis, 35.4% for trichomoniasis, 11.1% for bacterial vaginosis (BV) and 24% for candidiasis). Specificities for BV (88.9%) and candidiasis (81.1%) were higher than for cervicitis (62.8%) and trichomoniasis (68.5%). The positive predictive values were lower than 36% for all diagnoses, especially BV (6.9%). Syndromic management of RTIs in pregnant women was problematic using a clinical algorithm that had worked well for high-risk women. Syndromic management for RTIs in Jamaican antenatal clinics is only a temporary solution until more simple and affordable diagnostic tests for RTIs are developed and/or until laboratory support and clinical care can be upgraded at antenatal clinics.

journal_name

Int J STD AIDS

authors

Hylton-Kong T,Brathwaite AR,Del Rosario GR,Kristensen S,Kamara P,Jolly PE,Hook EW 3rd,Figueroa JP,Vermund SH

doi

10.1258/095646204774195209

subject

Has Abstract

pub_date

2004-06-01 00:00:00

pages

371-5

issue

6

eissn

0956-4624

issn

1758-1052

journal_volume

15

pub_type

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