dc.contributor.author | Jackson, DJ | |
dc.contributor.author | Rakwar, JP | |
dc.contributor.author | Chohan, B | |
dc.contributor.author | Mandaliya, K | |
dc.contributor.author | Bwayo, JJ | |
dc.contributor.author | Ndinya-Achola Jeckoniah O. | |
dc.contributor.author | Nagelkerke, NJ | |
dc.contributor.author | Kreiss, JK | |
dc.contributor.author | Moses, S | |
dc.date.accessioned | 2013-04-25T13:13:00Z | |
dc.date.available | 2013-04-25T13:13:00Z | |
dc.date.issued | 1997 | |
dc.identifier.citation | J Infect Dis. 1997 Apr;175(4):833-8 | en |
dc.identifier.issn | www.ncbi.nlm.nih.gov/whalecom0/pubmed/9086138 | |
dc.identifier.uri | http://erepository.uonbi.ac.ke:8080/xmlui/handle/123456789/16838 | |
dc.identifier.uri | http://www.ncbi.nlm.nih.gov/pubmed/9086138 | |
dc.identifier.uri | | |
dc.description.abstract | 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 | en |
dc.language.iso | en | en |
dc.title | Urethral infection in a workplace population of East African men: evaluation of strategies for screening and management | en |
dc.type | Article | en |
local.publisher | Department of Medical Microbiology, University of Nairobi, Kenya | en |