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STD diagnosis and treatment.


 Sexually transmitted diseases (STDs) are most easily diagnosed using laboratory tests. These tests, however, require sophisticated equipment which most health care settings can hardly afford. STD care at the primary level is being achieved with a strategy called "syndromic management." This approach is based on identifying the major groups of signs and symptoms (syndromes) commonly associated with certain infections. Through the syndromic management approach, patients are diagnosed and treated on the basis of these syndromes, rather than on the basis of specific STDs. STD control programs need to identify the common syndromes in the area, the organisms responsible for them, and effective antibiotics. Simple standard guidelines in the form of flow charts for each syndrome should then be developed for use by primary level health care workers. Treatment is prescribed to deal with the infections commonly associated with the syndrome in the region. The syndromic approach can, however, be used only for people with signs or symptoms. The syndromic approach has been researched and tested in several countries and is recommended by WHO and other international agencies.
