Kundu KK, Jana S; International Conference on AIDS.
Int Conf AIDS. 2000 Jul 9-14; 13: abstract no. WePeC4340.
K.K.Kundu, 134/ 1 Mitrapara Road, PO Box Naihati, Naihati 743165, North 24 Pgs. W.B., India, Tel.: +91 33 241 6200, Fax: +91 66 241 6283, E-mail: ship@cal.vsnl.net.in
Background: In 1992, an STD/HIV intervention was launched in a Sex Worker (SW) community following syndromic guidelines. But the percentage of genital ulcer remained disproportionate to the detected VDRL positivity in the baseline. The presence of a huge reservoir of asymptomatic syphilitic cases being perceived. Method: From 1995 routine opportunistic screening for syphilis was undertaken through VDRL even among asymptomatic patients. The positive findings were matched with recent history or current presence of genital ulcer, in a study analysing patient records from 1995 to end of 1997. Results: Among 81 VDRL positive SWs, positive correlation was found only in 13 (16.05%) cases while no such correlation could be found in the remaining 68 (83.95%) cases. Conclusion: Syphilitic infection among women with high risk behaviour will remain mostly undiagnosed if VDRL testing is not carried out in addition to syndromic management. The silent reservoir will act as a source of reinfection, frustrating the outcome of an intervention.
Publication Types:
Keywords:
- Acquired Immunodeficiency Syndrome
- Case-Control Studies
- Female
- HIV Infections
- HIV Seropositivity
- Humans
- India
- Infection
- Mass Screening
- Prostitution
- Syphilis
- Syphilis Serodiagnosis
- Syphilis, Latent
- organization & administration
Other ID:
UI: 102240606
From Meeting Abstracts