Symptom-Based Versus Laboratory-Based Diagnosis of Five Sexually Transmitted Infections in Female Sex Workers in Iran

被引：22

作者：

Shahesmaeili, Armita ^{[1
,2
]}

Karamouzian, Mohammad ^{[1
,2
,3
]}

Shokoohi, Mostafa ^{[1
,2
,4
]}

Kamali, Kianoush ^{[5
]}

Fahimfar, Noushin ^{[5
]}

Nadji, Seyed Alireza ^{[6
]}

Sharifi, Hamid ^{[1
,2
]}

Haghdoost, Ali Akbar ^{[1
,2
]}

Mirzazadeh, Ali ^{[1
,2
,7
]}

机构：

[1] Kerman Univ Med Sci, Inst Futures Studies Hlth, HIV STI Surveillance Res Ctr, Kerman, Iran

[2] Kerman Univ Med Sci, Inst Futures Studies Hlth, WHO Collaborating Ctr HIV Surveillance, Kerman, Iran

[3] Univ British Columbia, Sch Populat & Publ Hlth, Vancouver, BC, Canada

[4] Univ Western Ontario, Schulich Sch Med & Dent, Epidemiol & Biostat, London, ON, Canada

[5] Univ Tehran Med Sci, Sch Publ Hlth, Dept Epidemiol & Biostat, Tehran, Iran

[6] Shahid Beheshti Univ Med Sci, Virol Res Ctr, Natl Inst TB & Lung Dis NRITLD, Tehran, Iran

[7] Univ Calif San Francisco, Dept Epidemiol & Biostat, Inst Global Hlth Sci, San Francisco, CA 94143 USA

来源：

AIDS AND BEHAVIOR | 2018年 / 22卷

关键词：

Sexually transmitted infections; Symptoms; Diagnostic values; Female sex workers; SYNDROMIC MANAGEMENT; WOMEN;

D O I：

10.1007/s10461-018-2130-5

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Among 1337 Iranian adult female sex workers in 2015, we assessed the diagnostic value of 4 self-reported sexually transmitted infection (STIs) symptoms for detecting laboratory-confirmed gonorrhea, chlamydia, trichomoniasis, human papillomavirus (HPV), and syphilis. While 37.7% reported vaginal discharge (VD), 25.9% reported pain or burning (P/B), 3.0% reported genital ulcers (GU), and 1.4% reported genital warts (GW), the prevalence of laboratory-confirmed syphilis, gonorrhea, chlamydia, trichomoniasis, and HPV was 0.4, 1.3, 6.0, 11.9, and 41.9%, respectively. The sensitivity of VD was 40.3% for detecting tricomoniasis, 37.5% for chlamydia, and 37.5% for gonorrhea. The sensitivity of P/B ranged from 12.5% for gonorrhea to 25.2% for trichomoniasis. The sensitivity of GU and GW was very low for 5 STIs. The sensitivity of all symptoms combined was also lower than 50%. Among asymptomatic participants, 41.2% tested positive for HPV, 11.8% for trichomoniasis, and less than 6.6% for other STIs. Symptom-based case management and surveillance of STIs can lead to misclassification of a large proportion of cases.

引用

页码：S19 / S25

页数：7