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首页> 外文期刊>International Journal of Reproduction, Contraception, Obstetrics and Gynecology >A study of syndromic and etiological approach for the diagnosis of reproductive tract infections
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A study of syndromic and etiological approach for the diagnosis of reproductive tract infections

机译：症状和病因学方法对生殖道感染的诊断研究

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Background: Reproductive tract infections (RTIs) are one of the most common and major health problem around the world and they are much more widespread in developing countries than in developed countries due to Inadequate health services. Methods: Detailed history including, menstrual, obstetric and sexual history of the patients were taken and general, physical and local examination was done and clinical symptoms and sign were noted using a structured screening proforma. Results: In our study syndromic approach has a moderate diagnostic accuracy in detecting vaginal discharge syndrome and pain abdomen syndrome. Syndromic diagnosis is low cost effective, more acceptable and easily available at primary and secondary health centre. It should be continued as first line management. Conclusions: In present study the vaginal discharge syndrome has sensitivity of 64.71% and specificity of 57.14%, PPV 61.11%, NPV 60.87% and accuracy is 61%. If treatment is given only on the basis of syndromic approach for vaginal discharge syndrome it results in over-treatment in 42.86% (false positive) and under diagnosis in 35.29% (false negative). This approach was found less effective. For lower pain abdomen syndrome the sensitivity is 21.74% and specificity is 84.62%, PPV 38.46%, NPV 70.97% and accuracy is 65.33%. If treatment is given only on the basis of syndromic approach for lower pain abdomen syndrome results in over -treatment in 15.38% (false positive) and under diagnosed 78.26%.(false negative). This approach was found less effective.
机译：背景：生殖道感染（RTIs）是世界上最常见和主要的健康问题之一，由于卫生服务不足，它们在发展中国家比在发达国家更普遍。方法：收集详细的病史，包括患者的月经，产科和性病史，并进行常规，身体和局部检查，并使用结构化筛查形式记录临床症状和体征。结果：在我们的研究中，综合征方法在检测白带综合症和腹痛综合症方面具有中等诊断准确性。症状诊断成本低廉，更易于接受，并且可以在初级和二级卫生中心获得。应该继续作为一线管理。结论：本研究中白带综合症的敏感性为64.71％，特异性为57.14％，PPV为61.11％，NPV为60.87％，准确度为61％。如果仅根据综合症方法对白带综合症进行治疗，将导致过度治疗的比例为42.86％（假阳性），而根据诊断结果为35.29％（假阴性）。发现这种方法不太有效。对于下腹痛综合征，敏感性为21.74％，特异性为84.62％，PPV为38.46％，NPV为70.97％，准确度为65.33％。如果仅基于综合症治疗方法来治疗下腹疼痛综合征，则过度治疗的比例为15.38％（假阳性），而诊断为不足的为78.26％（假阴性）。发现这种方法不太有效。

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