IPHREHAB: SEXUALLY TRANSMITTED INFECTION IN MEN

IPHREHAB


Why Syndromic Management has specific relevance to RTIs/STIs?

• STI clients hesitant to approach doctors
• Often choose far-off doctors
• Do not prefer to revisit
• First visit may be the last chance
• If opportunity missed the first time- is like pushing client towards HIV
• Dealing with 1 STI case is an opportunity to treat at least 1 more case
• IT IS PUBLIC HEALTH PROBLEM, not about one individual

RTI / STI Syndromes in Men

ä(Sexually transmitted infections , 

Reproductive tract infections )

ä

Symptoms	Syndrome	RTIs/STIs
Urethral Discharge	Urethral/Vaginal discharge syndrome	Gonorrhoea, chlamydia, trcichomonas,
Genital ulcers	Genital ulcer syndrom,	Chancroid, syphilis, genital herpes
Inguinal bubos	Inguinal bubo syndrome	Lymphogranuloma venerium, Chancroid
Scrotal swelling	Painful Scrotal Swelling	Gonorrhoea, chlamydia
Genital skin conditions	Genital skin conditions	Genital warts, molluscum contagiosum, pediculosis pubis, scabies

Male Syndromes 

Genital Ulcer

Genital Ulcer

Scrotal Swelling

Inguinal Bubo

IPHREHAB : Sexually Transmitted Diseases

IPHREHAB


Sexually Transmitted Diseases

• Venereal Diseases
• Sexually transmitted diseases
• Sexually transmitted infections
• Reproductive tract infections

Approaches to RTI/STI Case Management

• Traditional clinical approach
• Laboratory assisted approach
• Syndromic approach

Traditional clinical approach	Laboratory-assisted approach	Syndromic approach
Interviews patient for symptoms	Interviews patient for symptoms	Interviews patient for symptoms Picks the relevant flowchart
Does a clinical examination	Does a clinical examination	Does a clinical examination for finding signs Uses flowcharts as tools
Uses clinical experience to identify symptoms and signs of a specific STI	Collects samples for testing/ refers to laboratory for tests	Syndrome identification
Treats for the specific STI	Treats for STIs identified by the results of the laboratory tests	Treats patients for the most common organisms responsible for that syndrome (usually 2-3 STIs)
Educates patients for compliance and prevention, promotes condoms and emphasizes the importance of partner management	Educates patients for compliance and prevention, promotes condoms and emphasizes the importance of partner management	Educates patients for compliance and prevention, promotes condoms and emphasizes the importance of partner management