Vuylsteke et al developed clinical algorithms for screening pregnant women and female prostitutes in Zaire for gonococcal and/or chlamydial infections. These are intended to be an affordable method for resource-poor settings.
Pregnant Woman Score
|
Parameter |
Finding |
Points |
|
age |
< 25 years of age |
14 |
|
|
25 - 34 years of age |
11 |
|
|
> 34 years of age |
0 |
|
status |
single |
5 |
|
|
married |
0 |
|
number of partners in past year |
0 or 1 |
0 |
|
|
> 1 |
10 |
|
report of vaginal discharge |
yes |
1 |
|
|
no |
0 |
|
report of lower abdominal pain |
yes |
3 |
|
|
no |
0 |
|
leukocyte esterase dipstick finding |
0 (< 10 WBC per µL urine) |
0 |
|
|
1+ (10-25 WBC per µL urine) |
10 |
|
|
2+(about 75 WBC per µL urine) |
12 |
|
|
3+(about 500 WBC per µL urine) |
15 |
score for pregnant women =
= SUM(points for findings)
Female Prostitute Score
|
Parameter |
Finding |
Points |
|
age |
< 20 |
13 |
|
|
20 - 24 |
10 |
|
|
25 - 29 |
5 |
|
|
> 29 |
0 |
|
vaginal discharge on physical examination |
yes |
3 |
|
|
no |
0 |
|
cervical mucopus on physical examination |
yes |
17 |
|
|
no |
0 |
|
cervical friability on physical examination |
yes |
9 |
|
|
no |
0 |
score for female prostitutes =
= SUM(points for findings present)
Interpretation:
• minimum scores = 0
• maximum score for pregnant women: 48
• maximum score for female prostitute: 42
• A score > 28 for a pregnant woman is considered a positive screening, with a sensitivity of 72% and specificity 73.5%.
• A score > 8 for a female prostitute is considered a positive screening, with a sensitivity of 71% and specificity 55.8%.
Specialty: Infectious Diseases, Obstetrics & Gynecology, Urology
ICD-10: ,
