“Comparative evaluation of Sexually Transmitted and Non Sexually Transmitted, Reproductive tract infection at tertiary care centre in western Rajasthan, India”

2016 ◽  
Vol 3 (2) ◽  
pp. 107
Author(s):  
Priyanka Soni ◽  
Smita Kulsrestha ◽  
R.S. Parihar ◽  
P.K. Khatri
Author(s):  
Nisha Chaudhary ◽  
Rajkumar Kalyan ◽  
Jyotsna Agarwal ◽  
Mastan Singh ◽  
Sabuhi Qureshi

Background: Reproductive tract infections (RTIs) continue to present major health, social and economic problems all over the world and their complications are the most important causes of morbidity and mortality for women especially in the developing countries. Interest in RTIs and their management has increased tremendously because presence of a RTI in the sexual partner increases the risk of acquisition of HIV. Aim was to evaluate the risk factors in women attending a sexually transmitted infection clinic at a tertiary care centre and prevalence of RTI in our setup.Methods: The present study was conducted on 318 women of reproductive age group (18-45 years) attending the Reproductive tract infection/ sexually transmitted infection (RTI/STI) clinic at our tertiary care centre, they were evaluated for the prevalence of following RTIs: chlamydia, gonorrhoea, syphilis, bacterial vaginosis, trichomoniasis and candidiasis; and their correlation with clinical features and associated risk factors.Results: The factors found to be significantly associated with RTI were illiteracy, unemployment, past history of RTI in patient and presence of RTI in their partner. The prevalence of RTI in our setup reported 9.7%. The prevalence of candidiasis was maximum (11.5%) followed by chlamydia (4.1%), syphilis (4.1%), bacterial vaginosis (1.73%) and trichomoniasis (0.57%).Conclusions: None of the women was found positive for gonorrhoea. No coexistence of any two diseases found in any patient. Most common presentation was genital discharge (52.8%) followed by lower abdominal pain (45.2%).


Author(s):  
Sonal Prakash Chavan ◽  
Sharmila Sanjay Raut ◽  
Pragati Sharma ◽  
Ravindra Kashinath Khadse

Background: Sexually transmitted infections (STIs)/reproductive tract infections (RTIs) are an important public health problem worldwide. Growing spread of RTIs/STIs are an augmenting factor for HIV transmission. Due to lack of adequate laboratory infrastructure, there is limited data. Hence information regarding STIs lies essentially on syndromic basis.Methods: This was an observational, cross-sectional study carried from June 2016 to September 2016 with sample size of 300 patients attending STI/RTI clinic. Various samples were collected like scrapings, exudates and swabs from ulcerative lesions for microscopy. Urethral, vaginal and cervical swabs for wet mount, gram stain and culture. Blood sample were collected for RPR, TPHA, ELISA HSV II, HIV, HBsAg. Processing and identification of organism as per NACO guidelines.Results: Out of total 300 cases, 255 (85%) are females and 45 (15%) are males. Maximum cases are from 25-44 years age group. Genital discharge syndrome is more common in females while genital ulcerative syndrome more in males. Coinfection with HIV is found in 17% cases. Herpes genitals (20%) is the most common causative agent for ulcerative STIs in males. VDS is the most common syndrome in Females. Candida (27.8%), G. vaginalis (12.2%) and T. vaginalis (3.5%).Conclusions: Viral and fungal STIs are more common than bacterial STIs. Targeted intervention and contact tracing as done for HIV should be effectively emphasised for STI/RTI also. Syndromic approach should be supplemented by Laboratory diagnosis for more effective outcome.


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