W075 ACCURACY OF SYNDROMIC DIAGNOSIS AND MANAGEMENT FOR VAGINAL DISCHARGE AND CERVICITIS IN WOMEN OF REPRODUCTIVE AGE IN BOGOTA, COLOMBIA

2012 ◽  
Vol 119 ◽  
pp. S729-S729 ◽  
Author(s):  
J.E. Tolosa ◽  
A.E. Rodriguez ◽  
E.A. Muller ◽  
A.I. Ruíz-Parra ◽  
L. Nuñez-Forero ◽  
...  
2021 ◽  
Vol 15 (6) ◽  
pp. 1249-1252
Author(s):  
R. Mukhtar ◽  
A. U.- Rehman ◽  
A. Ilyas ◽  
M. J. Khan ◽  
R. Liaqat ◽  
...  

Aim: To determine the frequency of Bacterial vaginosis by pap smear cytology and find its association with its sociodemographic determinants. Study design: Cross sectional analytical study Place and duration of study: Department of Histopathology, Shaikh Zayed Hospital, Lahore from 1st January 2016 to 31st October 2016. Methodology: Two hundred and sixty pap smears of married women of reproductive age group with vaginal discharge who attended Gynecology OPD were included. Proper history regarding age, socioeconomic status, age of marriage, literacy level, smoking, and nutritional status was taken. Results: Disease prevalence was found to be 19.2%(50)in this sample of 260 while 9.1% had Candidiasis, 47%, 17.2% ,3.7%, 4.1% had Mild nonspecific inflammation, Moderate nonspecific inflammation, Moderate to severe nonspecific inflammation, and negative smears respectively. Bacterial vaginosis was associated with age, monthly income, illiteracy, early age at marriage, history of abortion and nutritional status with significant p-value ≤ 0.05. However no association was found between the disease and marital status, smoking and pallor. Conclusion: Low socioeconomic status, literacy, age >35, nutritional status is strongly related to occurrence of bacterial vaginosis in women of reproductive age group with vaginal discharge. Key Words: Bacterial vaginosis, Pap smear, Sociodemographic determinants


Author(s):  
B S Meena ◽  
Anita Simlot ◽  
Ramesh Chandra ◽  
Pratibha Sharma

Background: Bacterial Vaginosis (BV) is the most common cause of abnormal vaginal discharge among women of reproductive age, accounting for 40 to 50 per cent of all cases of vaginal discharge. BV is a polymicrobial disorder. Methods: Hospital based observational study. The Department of Obstetrics and Gynaecology, SMS Medical College, Jaipur, Rajasthan. Results: In the present study 75.30% women had history of previous one abortion. Among them 25% women had BV. Women who had prior history of two or three and more than three abortions had BV in 40% and 40% proportion subsequently. Conclusion: In the present study, the author also studied the association between previous reproductive outcome and BV. No statistically significant association between history of previous one abortion and the presence of BV was found. Keywords: BV, Abortion, Reproductive outcome


2021 ◽  
pp. 49-50
Author(s):  
Neha Yadav ◽  
Sonu Panwar

In women of reproductive age, vaginal discharge is one of the most frequent signs. Vaginal discharge may be physiological or pathological; thus, this study was conducted to ascertain the microbial diversity of vaginal discharge cases in relation to socioeconomic status and demographic history among women of reproductive age attending a tertiary care hospital. To diagnose the organism, simple wet laboratory preparation, 10% KOH, Gram staining, and pH paper were used, while to classify and categorise the pathogens, various differential agar media such as CHROM agar, Blood agar, and Sabouraud Dextrose agar were used, followed by some biochemical tests and the use of the Nugent Score. The majority of the patients were between the ages of 22 and 28. The patients were all from the lower middle class 41. (37.61 percent ). Microbial diagnosis revealed that 45 percent of patients had Bacterial Vaginosis, 41 percent had Candidiasis, 5% had Trichomoniasis, and 9% had both Bacterial Vaginosis and Candidiasis..


Author(s):  
Tiwari Richa ◽  
Pushpalatha Buduru ◽  
Bharathi K

Cervical erosion is a most common condition seen in women of reproductive age groups. Its prevalence is between 50-85% of all the gynecological conditions. In modern system of medicine diathermy cauterization or cryosurgery are generally advised for treatment but these procedures have their own side effects and complications like excessive vaginal discharge, secondary infertility, bleeding per vagina, infection, stenosis etc.. So still it is one of the most troublesome diseases for patients as well as for gynaecologists. Due to the serious consequences of the disease it is the need of hour to develop an accurate therapy for pathological erosion. This is an attempt to throw some more light on the clinical studies on cervical erosion. On cervical erosion total eight clinical studies in PG level has been completed out at National Institute of Ayurveda, Jaipur. Out of eight clinical studies, five works on Kshara Karma Karma (application of caustics), two works on Agnikarma (cauterization), two works on Kushthadi churna, one work on kushthadi varti, one work on Virechana. The drugs and procedures used in the research studies have chedana, Bhedan, Sosahana, Lekhana, Shodhana, Shothaghna, Raktprasadana, Vrana Shodhana (ulcer cleansing), Vrana Ropana (ulcer healer), krimihara, Kushtaghna (anti-dermatosis), Kandughna (anti-pruritic) properties. Maximum studies are carried out on Bahya Parimarjana (external application).


2021 ◽  
pp. 19-21
Author(s):  
Neha Yadav ◽  
Ritesh Kumar Singh ◽  
Sonu Panwar P

One of the most common symptoms in women of reproductive age is vaginal discharge. Normal or abnormal vaginal discharge are both possible. It's important to address pathological discharge. The aim of this research was to investigate the microbiological prole of vaginal discharge and antimicrobial susceptibility trends in women of reproductive age. Easy wet laboratory preparation, 10% KOH, Gram staining, and pH paper were used to diagnose the organism, whereas differential agar media such as CHROM agar, Blood agar, and Sabouraud's Dextrose agar were used to identify and categorise the pathogens, followed by biochemical testing and effective antibiotics to observe susceptibility trends. The antimicrobial activity of Clindamycin and Fluconazole against Gardnerella Vaginalis and Candida bacteria, respectively, was the strongest.


1970 ◽  
Vol 1 (2) ◽  
pp. 13-16
Author(s):  
Mekhala Sarkar ◽  
Seikh Farid Uddin Akter ◽  
Md Zillur Rahman

Objectives: To determine the proportion of reproductive tract infection (RTI) among the married women of reproductive age in a slum of Dhaka and to ascertain their treatment seeking behaviour. Materials and Methods: A cross sectional study was carried out among 207 married women of reproductive age (15-49 years). RTI was diagnosed using the ‘modified syndromic approach' as suggested by the World Health Organization. Data were collected through face-to-face interview by using a semi-structured questionnaire. Place and period of the study: The study was undertaken from March to June in the year 2003 in the Naderkhan slum of Rayer Bazar area in Dhaka City. Results: The proportion of RTI among the study population was 45.4% and abnormal vaginal discharge was the most frequently encountered symptom. Family size and occupation of the respondents as well as of their husbands had shown significant influence on the occurrence of RTI (p<0.05) while other socio-demographic characteristics failed to show any association. Of the 94 women detected with RTI, only 26.6% of them received any treatment for the same. For vaginal discharge, lower abdominal pain and painful coitus, majority of the respondents sought treatment from traditional healers and for difficulties in urination and vaginal itching majority of them received treatment from a chemist. Conclusion: Although a considerable number of the married women of reproductive age living in the slum suffered from various types of RTIs, only one fourth of them received any sort of treatment, and that also mainly from the traditional healers. Bangladesh being a signatory to the MDG, maternal health is a priority area. Urban slums cannot be overlooked. Ibrahim Med. Coll. J. 2007; 1(2): 13-16 Key Words: RTI, slum dwellers, treatment, Dhaka city.   doi: 10.3329/imcj.v1i2.2899


2021 ◽  
Vol 12 (2) ◽  
pp. 66-70
Author(s):  
Gulnar K ◽  
Harman Multani

Background: Abnormal vaginal discharge results from a variety of infectious and noninfectious causes. Vulvovaginal candidiasis (VVC) is caused by the overgrowth of Candida species in the vagina and is characterized by itching, erythema and curd like vaginal discharge. Vulvovaginal candidiasis is most often caused by Candida albicans, however, other species of Candida such as Candida glabrata, Candida parapsilosis, and Candida tropicalis are emerging. Aims and Objectives: The current study was designed to study microbiological diagnosis and anti-fungal susceptibility testing of vulvovaginal candidiasis in symptomatic women of reproductive age group attending our tertiary care institute. Materials and Methods: The present study was conducted in female patients in the reproductive age group (15 to 50 years), with the complaint of excessive vaginal discharge. Vaginal swabs collected from patients with abnormal vaginal discharge were processed for direct examination of the Candida species. Results of the culture and antimicrobial sensitivity testing were documented. Collected data was entered in Microsoft excel sheet and analysed. Statistical analysis was done using descriptive statistics. Results: During study period 300 patients were included for this study after satisfying inclusion and exclusion criteria. All patients underwent microbiological study of vaginal discharge sample to diagnose vulvovaginalcandidiasis. Total 300 samples were tested, out of which 18.33% (55 samples) were tested positive for candidiasis. Positive samples were studied further. In present study 26-30 years age group (25%) was most common age group followed by 31-35 years (24%). Vaginal/vulvar itch (85%), vaginal malodour (78%) and vaginal discharge (71%) were most common symptoms noted in present study. Previous history of similar complaints in past (38%), history of recurrent vulvovaginal candidiasis (16%) and antibiotic use (15%) were most common predisposing factors for vaginal candidiasis in present study. Out of 55 isolates, Candida albicans (65%) was most common followed by Candida tropicalis (24%) and Candida glabrata (11%). Antifungal susceptibility was best for amphotericin B followed by clotrimazole, miconazole and least for fluconazole. Conclusion: Vaginal candidiasis is a common infection in women worldwide. Definitive laboratory procedures are of paramount importance to identify Candida isolates from suspected VVC cases to a species level toensure appropriate and effective use of antifungal agents.


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