Trends of sexually transmitted infections in a tertiary care center: A5 year’s analysis

Background: Genital ulcers are defined as breaches in the continuity of the genital mucosa and/or skin. Sexually transmitted infections (STIs) that cause genital ulcer disease (GUD) are syphilis, chancroid, donovanosis, lymphogranuloma venereum (LGV), and herpes genitalis. This study aimed to investigate the clinical and laboratory profiles of STI-related genital ulcers. Materials and Methods: A cross-sectional two-year study was conducted on patients attending the Outpatient Department of Dermatology, Venereology and Leprosy in a tertiary care center in northeastern India. Selected were 95 patients who presented themselves with STI-related genital ulcers. Detailed history taking and examination were conducted with basic tests to assist the diagnosis. Results: The male-to-female ratio was 3.32:1, and the most common site was the glans and prepuce in males (28.77%) and the labia majora and minora in females (36.36%). 96.84% of patients had superficial ulcers. The KOH mount was positive in 26 patients. The Tzanck smear was positive in 31 patients. RPR was positive in four. HIV was positive in eleven. Herpes genitalis (96.84%) was the most common GUD. Mixed STIs were attested in 41.05% of patients. Conclusion: GUD can take various forms of presentation. The available laboratory tests should be utilized. The possibility of mixed infections should always be kept in mind.

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Sexually Transmitted Infections in A Tertiary Hospital of Kathmandu: A Retrospective Study

Nepal Journal of Dermatology Venereology & Leprology ◽

10.3126/njdvl.v19i2.37686 ◽

2021 ◽

Vol 19 (2) ◽

pp. 44-48

Author(s):

Sushil Paudel ◽

Niraj Parajuli ◽

Sudip Dahal ◽

Sudarshan Paudel

Keyword(s):

Sexually Transmitted Infections ◽

Care Center ◽

Tertiary Care ◽

Public Health Problem ◽

Tertiary Hospital ◽

Cross Sectional Study ◽

Care Hospital ◽

Cross Sectional ◽

Level Of Education ◽

Sexually Transmitted

Introduction: Sexually transmitted infections (STIs) are the diseases that are transmitted by sexual contact if a partner is infected with agent known to cause infection of genitalia. This group of diseases pose a huge public health problem. This study aims to provide an insight on the prevalence of STIs in a tertiary care center dedicated to civil servants. Methods: This is a retrospective cross-sectional study. All patients diagnosed with STI in a dermatology out-patient of Civil Service Hospital, a tertiary care hospital situated in Kathmandu over a period of two years from January 1 2018 to December 30 2019 were included in the study. The diagnosis was made by clinical and laboratory investigations. Results: The total number 157 cases of STIs were enrolled in this study, of which 119 (75.8%) were males and 38(24.2%) were females. The mean age of patients was 27.8±8.8 years, ranging from 15 to 60 years. Seventy three (46.5%) patients were married, while 81 (51.6%) patients were unmarried. Unmarried males were significantly more vulnerable to acquire STIs (p=0.005). Males were having significantly more premarital or extramarital sexual exposures as compared to females (p<0.001). The most common presentation was condyloma acuminata in 84(53.5%) patients. Consistent use of condom was reported only in 3 (2.5%) males and 1 (2.6%) females in this study. No association was noted between the education level attained to the practice of safe sexual methods (p=0.535). Conclusion: The proportion of males was higher than females in our study which might be due to the reluctances of female to see doctor for sexual problems. The level of education did not seem to make people aware of practicing safe sex. Sexual education seems must in all level of education.

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The study of knowledge, attitudes and practices of husbands accompanying patients at obstetrics clinics of a tertiary care center about contraception

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20193021 ◽

2019 ◽

Vol 8 (7) ◽

pp. 2658

Author(s):

Manisha Sharma ◽

Sri Sarana ◽

Atul Seth

Keyword(s):

Emergency Contraception ◽

Care Center ◽

Tertiary Care ◽

Tertiary Care Center ◽

Sexually Transmitted ◽

Attitudes And Practices ◽

Adequate Knowledge ◽

Effective Contraception ◽

The Government ◽

Knowledge Attitudes And Practices

Background: Contraceptive practices are the main tool we have in controlling the ever increasing population. It also has a huge role in preventing sexually transmitted infections. The present study was undertaken to find the knowledge, attitudes and practices of husbands accompanying patient at obstetrics clinics of a tertiary care center about contraception.Methods: The study population was 100 husbands accompanying patients at obstetrics clinics of a tertiary care center. A simple questionnaire of 26 questions regarding knowledge, attitudes and practices regarding contraception was provided to the consenting husbands. The results were then analyzed.Results: Vast majority have adequate knowledge about male contraception (93%), vasectomy (85%) and sexually transmitted diseases (72%). Most of the husbands do not have adequate knowledge about female contraception (only 59%) and emergency contraception (only 27%). 70% of the husbands do not know about the free contraceptives provided by the Government of India. A staggering 74% do not participate in effective contraception. Also, 77% agreed that they would remain contended with a single child.Conclusions: This cross-sectional study clearly shows that husbands accompanying patients at obstetrics clinic of a tertiary care center have adequate knowledge about male contraception, vasectomy and sexually transmitted diseases. It is worth noting that most of the husbands do not have adequate knowledge about female contraception, emergency contraception and free contraceptives provided by the Government of India. Very few couples participate in effective contraception despite wanting to adopt a small family norm. This is a pointer towards the ineffectiveness of the family planning program of our country.

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