Diagnosis of vaginal discharge: Syndromic approach vs laboratory test comparative study
Journal Title: Medpulse International Journal of Gynaecology - Year 2018, Vol 7, Issue 2
Abstract
Background: In reproductive age most of the female encountered with the problem of vaginal discharge as it is a common problem faced by women. Syndromic approach for diagnosis of vaginal discharge is current practice of health provider but we need to know the exact etiology of vaginal discharg e by simple laboratory test for the better treatment. Objective: To compare the diagnosis of vaginal discharge based on syndromic approach and laboratory tests. Materials and Methods: A cross sectional study was performed on 300 women of reproductive age group (15 -45 years) who gave written informed consent to participate in the study. Participant with symptomatic discharge came in Gynecology OPD of various hospitals of Indore city enrolled for study. They were diagnosed on the bases of WHO syndromic approach further the specimen send to laboratory for confirmative diagnosis. Women on oral contraceptives and those using IUD having severe health problems are not taken into study population. The data collected were analyzed through percentages and frequencies in which the data were presented in table formats, pie charts and histograms which were obtained using Excel and some using SPSS (Statistical Package for Social Science). The study was conducted during January 2016 to December 2016. Results: Among 300 women, In present study based on WHO syndromic approach bacterial vaginosis was most common diagnosis 64% followed by Indeterminate/Mixed 26% then candidiasis 06% lastly Trichomoniasis Less than 1% and diagnosis by laboratory showed bacterial vaginosis 38%, mixed 22%, candidiasis, Trichomoniasis Less than 1% and 32% nod determined Conclusions: WHO syndromic approach diagnosed bacterial vaginosis on higher side when be compare it with laboratory diagnosis while in case of candidiasis and trichomoniasissydromic approach results are quite satisfactory so we can conclude that syndromic approach has high sensitivity and
Authors and Affiliations
Jaya Patel, Shailesh Rai
Keywords
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