Because of the frequency of concurrent infections and the possibility of silent infections or unusual presentations, some screening tests should be routine for all patients presenting with STD. A similar routine should be offered to patients in high risk groups presenting for check-ups. The following are recommended:
Serological tests for syphilis (see p.25) i.e. routine serology (reagin and treponemal). For high risk individuals such as prostitutes, reagin tests should be done as frequently as every 6 weeks.
Serological test for HIV (see p.38). Testing for HIV antibody is routinely offered in many STD clinics and is recommended for all patients with STD.
Smear and culture for gonorrhoea i.e. routine swabs of urethra or cervix and anal canal. For high risk individuals, smear and culture from appropriate sites should be examined as often as every week.
Investigation for chlamydia. In high risk individuals, examine swabs or smears from appropriate sites as often as every week.
Cervical smear. Female patients with multiple partners should have cervical cytology at least 6 monthly. Cervical cytology will not usually be done when a patient presents with STD, but should be considered for each female patient at the follow-up visit.
*19/56/1*
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