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Canadian Journal of Infectious Diseases and Medical Microbiology
Volume 16, Issue 1, Pages 13-14
Canadian STI Best Practice Laboratory Guidelines

Syndromes Associated with Sexually Transmitted Infections

Max Chernesky,1 David Patrick,2 and Rosanna Peeling3

1Pathology and Molecular Medicine, McMaster University, Medical Microbiology, St Joseph’s Healthcare, Hamilton, Ontario, Canada
2British Columbia Centre for Disease Control, Vancouver, British Columbia, Canada
3World Health Organization, STD Diagnostic Initiative, Geneva, Switzerland

Copyright © 2005 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Excellent technologies have been developed to identify the specific microbial agents of chlamydia, gonorrhea, syphilis, herpes, chancroid, trichomoniasis, human papillomavirus and HIV infection. However, it is also crucial to recognize syndromes that may be caused by one or more sexually transmitted pathogens. When laboratory services are lacking or are inadequate to provide timely results to enable appropriate treatment, some patients must be managed and treated syndromically. Most Canadian laboratories should be able to provide diagnostic services to determine the etiology of syndromes such as cervicitis, urethritis, pelvic inflammatory disease, prostatitis, genital ulcers, sexually transmitted infection (STI)-related enteric infections, epididymitis, hepatitis, ophthalmia neonatorum, vulvovaginitis and vaginosis.