Prevalence of Reproductive Tract Infections/ Sexually Transmitted Infections among Women in a Tertiary Care Hospital- An Observational Study
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 6
Abstract
Background: Reproductive tract infections (RTIs) /sexually transmitted infections (STIs) are an important public health problem: 6% of adult population in India has one or more RTI/STI. Approximately 30-35 million new episodes of RTI/STI occur every year in country. RTI/STI are an important cause of infertility. Roughly 21% pregnancies result in still birth and 9% in neonatal death due to untreated syphilis. Aims and Objectives: To study the prevalence of RTI/STI in women, to find out commonest RTI/STI and its correlation with HIV/VDRL and Pap Smear abnormality if any. Material & Methods: This is a cross-sectional observational study undertaken for one year in 2294 consecutive women with RTI/STI in the age group of 15-49 years, attending the Gynaecology outpatient Department of a tertiary-care hospital in North India Result: The prevalence of RTI/STI in our study was 13.19%. Majority of patients were married (94.86%), Para 1 and above (93.4%) from low socio economic group (90.6%), illiterate (72.5%) between 26-35 years of age (67.47%). Vaginal discharge (62.51%) and lower abdominal pain / backache (43.42%) were most common presenting complaints. Vaginitis (62.51%), cervicitis (27.81%) and chronic pelvic inflammatory disease (PID) (15.63%) were most frequently encountered RTI/STI. Bacterial vaginosis (49.79%), candidiasis (35.84%) and trichomoniasis (21.33%) were important causes of vaginal discharge either alone or in combination. HIV and VDRL were reactive in only 15 (0.68%) and 11 (0.56%) RTI/STI females respectively. Inflammatory Pap smear was observed in 36.4% cases while nine cases (0.9%) had cervical dysplasia of varying degree. Conclusion: Vaginal discharge and lower abdominal pain are the commonest presenting complaints. Mixed vaginitis, cervicitis and chronic PID are frequently encountered RTI/STI in Gynae OPD practice. Bacterial vaginosis, candidiasis and Trichomoniasis remain important causes of vaginal discharge. Counselling, testing for HIV/VDRL and pap smear analysis alongwith syndromic management helps in prevention of RTI/STI.
Authors and Affiliations
Ruby Bhatia, Parmjit Kaur, Santosh Kumari, Aman Dev
Keywords
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- EP ID EP600487
- DOI 10.9790/0853-1606018689.
- Views 77
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