3rd Floor 158 Jan Smuts Avenue Rosebank 2196
PO Box 950 Parklands 2121 South Africa
Tel: + 27 11 880 4821 Fax: +27 11 880 6084
web: www.bizwell.co.za and www.sabcoha.org
STI SYMPTOMATIC SCREENING TOOL
Purpose of tool: to assist healthcare providers to communicate basic facts about STIs to HCT clients aimed at empowering
individuals to take personal responsibility for health and to promote consistency, quality and timeliness in assessing the risk of
infection.
•Sexually Transmitted Infections (STIs) are
viral, bacterial or fungal infections
transmitted through sexual contact or
from a mother to her child before, during
or after birth. STIs affect the genitals, area
around the anus, groin and abdomen.
Do you know what a STI is?
•Viral
•HIV
•Genital Herpes
•(HPV)
•Bacterial
•Gonorrhea
•Syphilis
•Chlamydia
•Fungal
•Thrush
What types of STIs have
you heard about?
•Most signs and symptoms are easy to
recognise. Some STIs show no signs or
symptoms. Signs are visible and include
swelling, redness, ulcers, blisters, sores,
lumps, staining of underwear. Symptoms
are not visible but felt, these include pain,
burning, tingling, itching and odours in the
genital area or when urinating.
Did you know the signs and
symptoms that someone
can experience?
•If left untreated in women, STIs can cause
pelvic inflammatory disease, cervical
cancers and infertility and spontaneous
abortion. Untreated syphilis can lead to
complications such as paralysis, blindness,
deafness, heart disease and insanity.
•HIV is an STI when transmitted through
unprotected
sexual
contact.
STIs
significantly increase the risk of HIV
transmission because they cause swelling
and sores which allow easy entry of HIV
into the body. Prevention measures are
the same.
•Abstinence and faithfulness
Do you know what the risks
are of not treating a STI?
Does a STI increase your
risk of HIV?
How can you protect
yourself and others?
•Most STIs are similar and simple enough to
treat with the same medication. They can
be cured with a short-course of antibiotics.
Others can receive treatment of symptoms
but can never be cured or eliminated from
the body. Some types of HPV can cause
warts which may require surgery, freezing
or burning. The above prevention
behaviour should be practiced whilst on
treatment to avoid re-infection.
Do you know that most
STIs can easily be treated?
•Masturbation
•Consistent and correct use of condoms
•Medical male circumcision
•Partner disclosure and treatment
Symptomatic screening: is a question and answer based
individual clinical risk assessment of infection or disease. A
healthcare provider discusses and assesses the presence of
signs and symptoms commonly associated with an infection or
disease. A physical examination is not conducted. The results
are preliminary and indicative of possible infection. Those at
risk must be referred for diagnostic testing to confirm the
clinical assessment before treatment can be prescribed.
3rd Floor 158 Jan Smuts Avenue Rosebank 2196
PO Box 950 Parklands 2121 South Africa
Tel: + 27 11 880 4821 Fax: +27 11 880 6084
web: www.bizwell.co.za and www.sabcoha.org
STI SYMTOMATIC SCREENING
FIRST NAME
SURNAME
GENDER (M/F)
DATE OF BIRTH (Y:M:D)
Patient History
Tick () in the appropriate block or complete where required
Have you had unprotected sex in the last 3 months?
When last have you had an HIV test?
Have you ever been treated for a STI before?
If yes – when?
#
10 STI screening questions
Tick () in the appropriate block
1
Abnormal discharge and staining of underwear?
2
Odor of discharge?
3
Redness and/or itchiness?
4
Burn and tingle?
5
Swelling
6
Blisters, sores or ulcers?
7
Lumps, bumps or growths?
8
Pain
9
More frequent urination?
Yes
Women only
10
Are you pregnant?
11
Vaginal bleeding excluding menstruation?
12
Have you had a pap smear before?
If yes – when?
If yes to any one of the above refer for clinical evaluation and treatment, recommend partner disclosure.
No