简介：Researchdatashowedthatsyndromicapproachcouldsuccessfullymanagegonococcalandchlamydialinfectionsinmalesandsyphilisandchancroidinmalesandfemales.However,lowsensitivity,specificityandpositivepredictivevaluewerefoundinthesyndromicmanagementofvaginaldischarge.Itisrecommendedthatthesyndromicalgorithmformanagementofvaginaldischargeusedwhenservinghigh-riskandsymptomaticwomen.

简介：Objective:Tointroducethecurrentstatusofimplementingsexuallytransmittedinfection(STIs)syndromicmanagementinChina.Methods:Datawerecollectedandanalyzedfromtheliterature.Possiblesolutionsweresuggestedfortheobstaclesencounteredintheimplementationprocess.Results:Validationofrevisedflowchartsforthemanagementofthreesyndromes(urethritis,vaginaldischarge,andgenitalulcers)hasbeenconductedinChina.Thefeasibility,effectivenessandacceptanceofusingasyndromicSTIapproachwereinvestigatedinalargestudyinHainan,ZhejiangandHubeiProvinces.Chiefobstaclestoimplementationincludedthefollowing:lackofsupportfromgovernmentauthorities;negativereactionbyhospitals;lackofcriticalthinkingandinnovation;perceivedover-emphasisontreatmentattheexpenseofprevention;andlackofcoverageforseveralimportantpathogenswithintreatmentalgorithms.Possiblesolutionsmayincludepolicyadvocacy,adoptingsyndromicmanagementintoaChinesecontext,disseminationandpromotion,trainingofproviders,encouraginguseofsyndromicapproach,andconductingoperationalresearch.Conclusions:SyndromicSTImanagementprovidesafeasibleapproachforthediagnosisandtreatmentofSTIsinChina.Furthereffortsshouldbemadeforscalingupitsapplicationinclinicalsettings.