Urethral infection in a workplace population of East African men: evaluation of strategies for screening and management
View/ Open
Date
1997Author
Jackson, DJ
Rakwar, JP
Chohan, B
Mandaliya, K
Bwayo, JJ
Ndinya-Achola Jeckoniah O.
Nagelkerke, NJ
Kreiss, JK
Moses, S
Type
ArticleLanguage
enMetadata
Show full item recordAbstract
Transport workers (n = 504) in Mombasa, Kenya, were screened for urethral infection by history, clinical examination, and laboratory testing of urethral swabs and first-catch urine specimens. The prevalence of Neisseria gonorrhoeae was 3.4%, Chlamydia trachomatis, 3.6%, and Trichomonas vaginalis, 6.0%; more than two-thirds of infections were asymptomatic. A complaint of urethral discharge, dysuria, or both was twice as sensitive as the sign of discharge on physical examination (34.5% vs. 15.5%) in identifying infection. A positive leukocyte esterase dipstick (LED) test on urine predicted infection with a sensitivity of 95.0% and a specificity of 59.3% in symptomatic men and with a sensitivity of 55.3% and a specificity of 82.8% in asymptomatic men. Demographic and behavioral factors were not independent predictors of infection. In resource-poor settings with high prevalences of urethral infection, an effective screening and management strategy would be to treat symptomatic men, as well as asymptomatic men with a positive LED test, for all three infections
URI
http://erepository.uonbi.ac.ke:8080/xmlui/handle/123456789/16838http://www.ncbi.nlm.nih.gov/pubmed/9086138
Citation
J Infect Dis. 1997 Apr;175(4):833-8Publisher
Department of Medical Microbiology, University of Nairobi, Kenya
Collections
- Faculty of Health Sciences (FHS) [10387]