{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,3]],"date-time":"2025-03-03T05:35:25Z","timestamp":1740980125866,"version":"3.38.0"},"reference-count":0,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2004,6,1]],"date-time":"2004-06-01T00:00:00Z","timestamp":1086048000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int J STD AIDS"],"published-print":{"date-parts":[[2004,6,1]]},"abstract":"<jats:p> We assessed the validity of a syndromic case management approach for reproductive tract infections (RTIs) among 371 pregnant women attending antenatal care facilities in Kingston, Jamaica, using an algorithm previously validated in high-risk Jamaican women. For our antenatal attenders, the algorithm had low sensitivities for all RTIs (66.7% for cervicitis, 35.4% for trichomoniasis, 11.1% for bacterial vaginosis (BV) and 24% for candidiasis). Specificities for BV (88.9%) and candidiasis (81.1%) were higher than for cervicitis (62.8%) and trichomoniasis (68.5%). The positive predictive values were lower than 36% for all diagnoses, especially BV (6.9%). Syndromic management of RTIs in pregnant women was problematic using a clinical algorithm that had worked well for high-risk women. Syndromic management for RTIs in Jamaican antenatal clinics is only a temporary solution until more simple and affordable diagnostic tests for RTIs are developed and\/or until laboratory support and clinical care can be upgraded at antenatal clinics. <\/jats:p>","DOI":"10.1258\/095646204774195209","type":"journal-article","created":{"date-parts":[[2006,5,10]],"date-time":"2006-05-10T23:35:02Z","timestamp":1147304102000},"page":"371-375","source":"Crossref","is-referenced-by-count":8,"title":["Marginal validity of syndromic management for reproductive tract infections among pregnant women in Jamaica"],"prefix":"10.1177","volume":"15","author":[{"given":"T","family":"Hylton-Kong","sequence":"first","affiliation":[{"name":"Jamaican Ministry of Health, Kingston, Jamaica & School of Public Health, University of Alabama at Birmingham, BBRB 206H, 1530 3rd Avenue South, Birmingham, AL 35294-2170, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A R","family":"Brathwaite","sequence":"additional","affiliation":[{"name":"Jamaican Ministry of Health, Kingston, Jamaica"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G R","family":"Del Rosario","sequence":"additional","affiliation":[{"name":"School of Public Health, University of Alabama at Birmingham, BBRB 206H, 1530 3rd Avenue South, Birmingham, AL 35294-2170, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Kristensen","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Alabama at Birmingham, BBRB 206H, 1530 3rd Avenue South, Birmingham, AL 35294-2170, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P","family":"Kamara","sequence":"additional","affiliation":[{"name":"School of Public Health, University of Alabama at Birmingham, BBRB 206H, 1530 3rd Avenue South, Birmingham, AL 35294-2170, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P E","family":"Jolly","sequence":"additional","affiliation":[{"name":"School of Public Health, University of Alabama at Birmingham, BBRB 206H, 1530 3rd Avenue South, Birmingham, AL 35294-2170, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"III","given":"E W","family":"Hook","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Alabama at Birmingham, BBRB 206H, 1530 3rd Avenue South, Birmingham, AL 35294-2170, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J P","family":"Figueroa","sequence":"additional","affiliation":[{"name":"Jamaican Ministry of Health, Kingston, Jamaica"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S H","family":"Vermund","sequence":"additional","affiliation":[{"name":"Schools of Public Health and Medicine, University of Alabama at Birmingham, BBRB 206H, 1530 3rd Avenue South, Birmingham, AL 35294-2170, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2004,6,1]]},"container-title":["International Journal of STD &amp; AIDS"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1258\/095646204774195209","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1258\/095646204774195209","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,2]],"date-time":"2025-03-02T10:19:23Z","timestamp":1740910763000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1258\/095646204774195209"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2004,6,1]]},"references-count":0,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2004,6,1]]}},"alternative-id":["10.1258\/095646204774195209"],"URL":"https:\/\/doi.org\/10.1258\/095646204774195209","relation":{},"ISSN":["0956-4624","1758-1052"],"issn-type":[{"type":"print","value":"0956-4624"},{"type":"electronic","value":"1758-1052"}],"subject":[],"published":{"date-parts":[[2004,6,1]]}}}