Title: A Syndromic Approach to Identify Cases of Vaginal Discharge in Females of central India
Authors: Dr Manju Toppo, Dr Soumitra Sethia, Dr Pradeep Dohare, Dr Dileep Dandotiya, Dr Veena Melwani, Dr Amreen Khan
DOI: https://dx.doi.org/10.18535/jmscr/v6i8.166
Abstract
Background: Vaginal discharge is a common symptom of Pelvic inflammatory disease among women. Studies have shown that of women seeking care in the primary and secondary health care setting, 11% to 38.4% in India, and 34% in Ethiopia were availing care for vaginal discharge[2-6].The prevalence in India is 24-32 %, 7% - 22% of PID is associated with HIV infection.
Methodology: This study was a Cross-sectional Study carried over a period of 3 months (Aug-Sept2017). The study participants were 150 females between 15-45 years residing in a randomly selected urban slum of the city.
Result: Maximum (23%) participants were of age group 20-24 years, followed by 18.8% 25-29 years while 9% of the participants were of age group 15-19 years. Out of 150 participants 89 had no discharge history while had history of vaginal discharge. Out of this 61 participants 33 (54%) were suffering with vaginal discharge problem always and 7 had rare episodes of vaginal discharge. Mucoid Consistency (66.7%) was the most common type amongst the type of discharge followed by watery discharge (11.33%).
Conclusion: In our study, we identified that socioeconomic status was one of the most important factors affecting the occurrence of Vaginal Discharge. Educational status of the female alone is comparatively less significant.
References
- Howkin’s and Bourne Shaw’s Textbook of Gynaecology, VG Padubidri; SN Darfrey
- Valsangkar S, Selvaraju D, Rameswarapu R, Kamutapu S. Impairment of quality of life in symptomatic reproductive tract infection and sexually transmitted infection. J Reprod Infertil. 2014;15 (2): 87–93. pmid:24918081; PubMed Central PMCID: PMCPMC4032974.
- Philip PS, Benjamin AI, Sengupta P. Prevalence of symptoms suggestive of reproductive tract infections/sexually transmitted infections in women in an urban area of Ludhiana. Indian J Sex Transm Dis. 2013;34(2):83–8. pmid:24339457; PubMed Central PMCID: PMCPMC3841676.
- Ray K, Muralidhar S, Bala M, Kumari M, Salhan S, Gupta SM, et al. Comparative study of syndromic and etiological diagnosis of reproductive tract infections/sexually transmitted infections in women in Delhi. Int J Infect Dis. 2009;13(6):e352–9. pmid:19237304.
- George R, Thomas K, Thyagarajan SP, Jeyaseelan L, Peedicayil A, Jeyaseelan V, et al. Genital syndromes and syndromic management of vaginal discharge in a community setting. Int J STD AIDS. 2004;15(6):367–70. pmid:15186579.
- Moges B, Yismaw G, Kassu A, Megabiaw B, Alemu S, Amare B, et al. Sexually transmitted infections based on the syndromic approach in Gondar town, northwest Ethiopia: a retrospective study. BMC Public Health. 2013;13:143. pmid:23414518; PubMed Central PMCID: PMCPMC3586370.
- CDC. Sexually Transmitted Disease Surveillance., http://www.cdc.gov/std/stats12/surv 2012.pdf (2012).
- WHO. Global Strategy for The Prevention and Control of Sexually Transmitted Infections: 2006–2015: breaking the chain of transmission. http://www.who.int/hiv/pub/toolkits/stis_strategy%5B1%5Den.pdf (2007)