7. Welcome your clients
Encourage your clients to talk
Look at your clients
Listen to your clients
8. Obtain reason for consultation (infection,
fear of infection)
Reassure patient that absolute confidentiality
will be maintained Find out what symptoms
and signs if any prompted the visit
Conduct a risk assessment
13. Scrotum
Testes: position, size, tenderness, masses,
Epididymiditis
Rectal examination
Tone
Fissure, hemorrhoids, or mass lesions
Prostate: Size, tenderness, masses
14.
15.
16.
17. Inspect external genitalia for irritation and
ulcers
Palpate the inguinal region for enlarged
Lymph nodes and buboes
Palpate the abdomen (superficial and deep)
for pelvic masses and tenderness
18. Conduct a speculum examination
swab the cervix
see vaginal epithlium
Bimanual exam
cervical motion tenderness
19.
20. “ that are
recommended in the National Guidelines for
the Management of STIs”
Ineffective or sub-therapeutic treatment:
loosing the confidence of your patient
spread of the infection
emergence of drug resistance
21.
22. Compliance with treatment
Counseling/Education
Condoms use; as appropriate
Contact Tracing and Treatment
50. Drug options for syphilis Drug options for
chancroid Drug options for granuloma
inguinale Drug options for LGV
Benzathine
Ciprofloxacin
Azithromycin
Doxycycline
benzylpenicillin
Erythromycin
Doxycycline
Erythromycin
Azithromycin
51.
52.
53.
54.
55.
56.
57. Recommended syndromic treatment
¦ ciprofloxacin, 500mg orally, twice daily for
3 days
15
AND
¦ doxycycline, 100mg orally twice daily for 14
days
OR
¦ erythromycin, 500mg orally four times daily
for 14 days
58.
59. Neonatal conjunctivitis
For details, see section 3.1 and 3.2.
Drug options for gonorrhoea
Drug options for chlamydia
Ceftriaxone
Erythromycin
Alternatives
Alternatives
Kanamycin
Trimethoprim/Sulfamethoxazole
Spectinomycin
60.
61. high accuracy
no Specialized equipment
Clinical protocols are standardized
Uniformity in collecting data
used by any level of health care providers
Diagnosis and treatment provided at first
visit
In many cases, no referral