scholarly journals Reproductive Tract Infection Among Women Suffering From Rheumatoid Arthritis in India: A Clinical-Based, Cross-Sectional Study

2020 ◽  
Vol 13 (8) ◽  
Author(s):  
Jaleh Naderi ◽  
Arvind Chopra ◽  
Renu Relwani

Background: Much research has been done on reproductive tract infections (RTIs), but no study exists about RTIs among rheumatoid arthritis women. Objectives: This study investigated the prevalence and risk factors of RTIs among reproductive-aged women with rheumatoid arthritis in Pune, India. Methods: This clinical-based, cross-sectional study enrolled a sample of 400 consenting Indian women aged 15 -49 years with a history of at least three months’ rheumatoid arthritis referring to a popular community center. Patients were interviewed comprehensively using previously validated relevant questionnaires. Women underwent gynecological examinations and vaginal smears (wet mount) by a microbiologist to diagnose candidiasis, bacterial vaginosis, and trichomoniasis. Syphilis serological testing was performed for the study population. Results: The prevalence obtained was 39.3%. Infection with bacterial vaginosis was 32.0%, Candidiasis 6.5%, and trichomoniasis 0.8%. Syphilis seroconversion was not observed. Adjusting for confounding factors in logistic regression showed that four factors remained significant, including age under 30 years [AOR: 2.4, 95% CI: 1.2 - 4.9], living in a crowded and small one-room house [AOR: 2.5, 95% CI: 1.2 - 5.1] , improper linen for menstruation bleeding [AOR: 1.9, 95% CI: 1.1 - 3.3], and oral disease-modifying anti-rheumatic drugs [AOR: 3.96, 95% CI: 1.9 - 7.9]. Conclusions: This study demonstrated a large burden of RTIs in women suffering from rheumatoid arthritis. Regular screening algorithms for RTIs are urgently required to prevent neglect and improve overall standard care in rheumatology practice. The presence of an oral disease-modifying anti-rheumatic drug as a risk factor shows that more investigation is necessary in this case.

2017 ◽  
Vol 37 (10) ◽  
pp. 1709-1718 ◽  
Author(s):  
Natalia Mena-Vazquez ◽  
Sara Manrique-Arija ◽  
Lucía Yunquera-Romero ◽  
Inmaculada Ureña-Garnica ◽  
Marta Rojas-Gimenez ◽  
...  

2015 ◽  
Vol 37 (2) ◽  
pp. 207-213 ◽  
Author(s):  
Lorena Michele Brennan-Bourdon ◽  
Ulises De la Cruz-Mosso ◽  
Zyanya Reyes-Castillo ◽  
Gloria Esther Martínez-Bonilla ◽  
María Guadalupe Ramírez-Dueñas ◽  
...  

Author(s):  
Angeline Grace G. ◽  
ArunKumar M. ◽  
Umadevi R.

Background: Menstruation is a normal biological function in females and in the society, the practices followed are highly variable across different regions. This study aimed to determine the practices followed during menstruation by rural women in Kancheepuram district, Tamil Nadu, India.Methods: This community based cross sectional study was carried out between August and October 2018. Sample size of 400 was calculated by using formula 4pq/d2 and female respondents were selected from sampled households using systematic random sampling. Data were collected using a pre-tested, structured questionnaire, which were analysed using SPSS version 16.0 and presented using descriptive and analytical statistics.Results: A total of 395 women were included in the study. About 54% of females belonged to the age group of 26-35 years and 82.5% were married. Use of sanitary pads during menstruation was reported by 28.6% of the females. Other absorbents used were disposable cloths (46.3%) and reusable cloths (25.1%). About 79% of females practiced some form of restriction during menstruation. Females aged <35 years (OR: 2.55, 95% CI: 1.48-4.39) were more likely to use sanitary pad compared to older females. Females who used sanitary pad as absorbent were less likely to have symptoms of reproductive tract infections compared to those who didn’t (OR: 0.51, 95% CI: 0.28-0.94).Conclusions: Menstrual hygiene practices were found be unsatisfactory among the rural women and various restrictions during menstruation were also in practice. Women should be educated about the importance of use of sanitary pads and the harms of using cloths. Awareness also needs to be created to abolish the unnecessary restrictions that are imposed on women to be followed during menstruation.


Author(s):  
Reena V. Wagh ◽  
Aditi J. Upadhye ◽  
Jayshree J. Upadhye

Background: Menstrual hygiene is an important aspect in the life of young girls.The present study aims at assessing the knowledge regarding menstruation and hygienic practices and perceptions during menstruation.Methods: It was a cross sectional study, conducted among 100 young girls of 20-22 years age to assess the awareness of menstrual hygiene. Data was collected by pre-tested questionnaire. Statistics was calculated in percentages.Results: Out of 100 girls, 71 (71%) knew about menstruation before menarche while 29 (29%) did not have any knowledge. 71 (71%) girls knew the cause of menstruation as physiological, 18 (18%) girls didn’t know the cause, 11 (11%) girls still believe it as curse of God. 68 (68%) girls knew the source of bleeding during menstruation as uterus, 20 (20%) girls thought it as vagina while 12 (12%) thought it as urethra. 64% girls use sanitary pads during menstruation, 19% girls used old cloth while 17% girls used new cloth during menstruation as adsorbent material. 9% girls dispose pads or used cloth in dustbin, 19% girls flush them in toilet while 12% girls throw them roadside. 96% girls avoid going to temple, 68% girls restrict their daily activities, 56% girls avoid going to functions, 50% girls avoid going to kitchen, 50% girls avoid going to kitchen while 45% girls avoid touching things at home.Conclusions: It is very important that young girls should be educated about the importance of maintaining hygiene during menstruation to prevent the risk of reproductive tract infections.


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