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Essential Guide to STI Screening

The document outlines the importance of STI screening, emphasizing that many individuals with STIs may be asymptomatic, leading to serious health consequences if left untreated. It details the types of screening methods, including clinical and laboratory approaches, and highlights specific recommendations for syphilis and cervical infections. Additionally, it discusses the use of screening tools such as Rapid Plasma Reagin (RPR) for syphilis and syndromic screening for cervical infections.

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Asrat Kassie
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12 views11 pages

Essential Guide to STI Screening

The document outlines the importance of STI screening, emphasizing that many individuals with STIs may be asymptomatic, leading to serious health consequences if left untreated. It details the types of screening methods, including clinical and laboratory approaches, and highlights specific recommendations for syphilis and cervical infections. Additionally, it discusses the use of screening tools such as Rapid Plasma Reagin (RPR) for syphilis and syndromic screening for cervical infections.

Uploaded by

Asrat Kassie
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd

Module VII Session one

STI Screening
Learning objectives:
 Explain the role of STI screening

 List the type STI screening

 Explain the recommendation and

available tool for STI screening

2
Introduction
A significant proportion of women and
men with STIs do not have symptoms, or
have minimal symptoms and do not
realize that anything is wrong.
Silent asymptomatic STI infections can
have serious consequences
Identifying and treating such patients
prevent the development of complications
for the individual patient and help reduce
transmission in the community.
3
Types of STI Screening
Method

[Link] screening
Assessing about the presence of any of
the STI syndrome
General examination including speculum
and bimanual examination to look for
signs of STI not noticed by the client.
[Link] screening
Serological screening for syphilis.
VIA for early detection of cervical cancer.
Testing and counselling for HIV.
4
Syphilis Screening

 Syphilis in both men and women is


associated with serious complications.

 Among pregnant women in the early


stages of syphilis who are not treated,
an estimated two-thirds of
pregnancies end in abortion, stillbirth,
or neonatal infection.
5
INDICATIONS AND OPPORTUNITIES FOR
SCREENING OF SYPHILIS

• Screening for syphilis during pregnancy should


be done at the first antenatal visit, or as early
as possible.
• Men and women with STI syndromes other
than genital ulcer should be screened for
syphilis. However, screening is unnecessary
for patients with ulcers who should be treated
syndromically for both syphilis and cancroid
without testing.
6
Recommended Screening tool

• Rapid plasma reagin (RPR) is the


preferred tests for syphilis screening.
• All patients who are reactive to RPR
should be treated.
• Sex partners of those found with
positive results should also be
treated without prior testing.

7
Cervical Infections Screening
Cervical infections are common but
often asymptomatic
Even if a woman is asymptomatic, it
may be possible to detect signs of
infection on careful speculum
examination.
Speculum examination may also reveal
signs of other infections, including
cervical ulcers and genital warts.
8
Indications and opportunities for
Cervical Infections screening
Screening may be done:
• Any time a speculum examination is
performed for other reasons;
• People with frequent exposure to STIs, such
as sex workers, should be screened
regularly every month
• For ART clients in ART clinics
• For clients seeking FP services

9
Available Screening tools

Syndromic screening through history and


physical examination
Careful speculum examination may
detect many (but not all) cervical
infections .

10
Lots of Thanks!

11

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