%0 Journal Article
%T A flowchart for managing sexually transmitted infections among Nigerian adolescent females
%A Obunge
%A O.K.
%A Brabin
%A L.
%A Dollimore
%A N.
%A Kemp
%A J.
%A Ikokwu-Wonodi
%A C.
%A Babatunde
%A S.
%A White
%A S.
%A Briggs
%A N.D.
%A Hart
%A C.A.
%J Bulletin of the World Health Organization
%D 2001
%I World Health Organization
%R 10.1590/S0042-96862001000400006
%X objective: to devise a flowchart suitable for assessing risk of trichomoniasis, chlamydia and gonorrhoea in an adolescent population, not all of whom will be sexually experienced or currently in a relationship. methods: the data used to derive the flowchart were generated from cross-sectional microbiological surveys of girls aged 14-19 years in port harcourt, nigeria. the flowchart screened on the basis of: (i) sexual experience; (ii) recent sexual activity; (iii) a positive urine leukocyte esterase (le) test; and (iv) among le negatives, a history of malodorous/pruritic discharge. findings: using this flowchart, we found that 26.2% of all adolescents screened would receive treatment for cervicitis and vaginitis. chlamydial, gonococcal, and trichomonal infections were correctly diagnosed in 37.5%, 66.7%, and 50 % of the cases, respectively. conclusion: although the flowchart is more suitable for an adolescent population than the vaginal discharge algorithm used in syndromic management protocols, it still lacks precision and needs adapting to local settings.
%K sexually transmitted diseases [therapy]
%K chlamydia infections [diagnosis]
%K gonorrhea [diagnosis]
%K trichomonas vaginitis [diagnosis]
%K risk assessment [methods]
%K software design
%K cross-sectional studies
%K adolescence
%K nigeria.
%U http://www.scielosp.org/scielo.php?script=sci_abstract&pid=S0042-96862001000400006&lng=en&nrm=iso&tlng=en