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Isaac White
Isaac White

Microbiology A Clinical Approach Pdf

As with the successful first edition, the new edition of Microbiology: A Clinical Approach is written specifically for pre-nursing and allied health students. It is clinically-relevant throughout and uses the theme of infection as its foundation. Microbiology is student-friendly: its text, figures, and electronic resources have been carefully desig

Microbiology A Clinical Approach Pdf


The following procedure and protocol manuals are provided for our microbiology laboratory and are available as an educational reference for other laboratories. All manuals are in PDF format. To maintain internal links, we recommend the use of Microsoft Internet Explorer.

Objectives: To determine the prevalence of sexually transmitted diseases (STDs) and to assess the validity of STD screening approaches among family planning clients in Dar es Salaam, Tanzania.

Methods: Between March and September 1995, information about sociodemographic characteristics, contraceptive use, sexual behaviour, and medical history was obtained from consenting women (n = 908). After interview, blood and genital specimens were collected for diagnosis of STDs and HIV. Based on the information obtained at interview and clinical examination, STD diagnostic algorithms were developed and validated.

Results: The prevalence of STDs was HIV (16.9%), gonococcal and/or chlamydial cervicitis (8.2%), and Trichomonas vaginalis and/or Candida albicans (27.2%). The risk of cervicitis was increased among unmarried women and among women with a husband or = 1) and clinical signs (cervical mucopus and friability) had a sensitivity of 37.8%, a specificity of 87.5%, and a PPV of 21.4%. A syndromic approach for vaginitis resulted in a higher sensitivity than the approach based on the type of vaginal discharge.


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