Thursday, 6 March 2014

NACO Kits for Treatment of Sexually Transmitted Infections


The other day my DNB students were asking me about various color kits that are available for syndromic management of vaginal discharge. I said I will tell you provided you answer one question. They said shoot! 
My question: 
Q.: What is the difference, if any, between sexually transmitted disease (STD) and venereal disease (VD)?
Needless to say, nobody could give the correct answer.
Answer: Venereal diseases are those sexually transmitted diseases that have lesions on the genital tract whereas other diseases that transmitted sexually but do not have pathological manifestations on the female genital tract should be called only sexually transmitted diseases. Thus all venereal diseases are sexually transmitted diseases but all sexually transmitted diseases are not venereal diseases. Examples: gonorrhea, syphilis, chancroid, lymphogranuloma venereum, and granuloma inguinale are venereal diseases; on the other hand HIV and hepatitis B are sexually transmitted infections but they are not venereal diseases.
Reference: Modern Gynecology, II edition, Ch. 06, Page 57, Ajit Virkud, APC Publishers.
Now back to syndromic management of vaginal discharge using different NACO kits.
In low resource settings e.g. developing countries like India, WHO advocates prescribing a single day course of multiple drugs for syndromic management of vaginal discharge. To avoid costs, no diagnostic tests are done before starting treatment. The treatment should be given to both the partners. National Aids Control Organization (NACO) of India has also adopted these guidelines and added a few extra measures to simultaneously control HIV in this high risk group. With this aim, they have developed different colour kits for syndromic management of symptomatic patients are shown in the table below.

NACO KITS

For more information on this topic refer to my textbook: Modern Gynecology, II Edition, APC Publishers

9 comments:

  1. With Due Respect Sir, Why do we need to categorize STD on the basis of genital manifestation? What is the meaning of the word Venereal its relevance with genital manifestation?

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  2. yes. Its should be Kit 7 (Black). Thanks.

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  3. Any number of these diseases you are susceptible to if you are not practicing safe sex, and once you have the disease std blood test

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  4. in KIT 1 (grey)..the round tablet has to be taken in Morning 30 mins after breakfast and the long one to be taken in evening 1 hr before meals.

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