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Aetiological diagnosis of STI is problematic in many settings. To overcome this, a syndrome-based approach to the management of STI patients was developed and promoted in a large number of countries in the developing world.
Syndromic management is based on the identification of consistent groups of symptoms and easily recognized signs (syndromes), and the provision of treatment that will deal with the majority or most serious organisms responsible for producing a syndrome.
WHO developed a simplified tool (a flowchart or algorithm) to guide health workers in the implementation of syndromic management.