Pattern of sexually transmitted infections in a district hospital from Himachal Pradesh
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20171319Keywords:
Sexually transmitted infections, Pattern, Balanoposthitis, Herpes genitalis, Cervical/vaginal dischargeAbstract
Background: Sexually transmitted infections (STIs) are a public health problem, which increase the HIV transmission and are a burden to the individual, his family and community. The prevalence of STIs varies widely across different regions in our country. There is immense need to study the pattern of STIs in various regions for proper planning and implementation of control strategies. The study was conducted with the objective to assess the pattern of STIs and their prevalence in a District hospital of Himachal Pradesh.
Methods: A retrospective hospital based study was carried out from clinical records of the STI clinic over a period of one year (January 2016 to December, 2016). Detailed history, demographical data and clinical features were recorded, and STIs were categorized into various syndromes as depicted by National AIDS Control Organization. The data collected was analyzed statistically, and compared with other studies from across the country.
Results: Cervical/vaginal discharge (80.4%) was the commonest STI followed by balanoposthitis (33.3%), lower abdominal pain syndrome (LAP) (17.1%), genital scabies (4.2%), herpes genitalis (3.7%), uretheral discharge (1.9%), genital warts (0.98%), chancroid (0.61%), molluscum contagiosum (0.6%), syphilis (0.12%) and inguinal bubo (0.12%). Balanoposthitis was the commonest STI in males, followed by genital scabies, herpes genitalis, genital warts, chancroid and genital molluscum, uretheral discharge and syphilis. In females, cervical/vaginal discharge was the most frequently reported STI followed by LAP, genital herpes, genital scabies, genital warts, chancroid, inguinal bubo and molluscum contagiosum.
Conclusions: The increase prevalence of cervical/vaginal discharge was due to increased referral from Gynaecology OPDs. Balanoposthitis was quite commonly reported in males. The increase in the viral STIs has been seen, which is consistent with other studies from different regions.
References
Marfatia YS, Sharma A, Joshipura SP. Overview of Sexually Transmitted Diseases. In: Valia RG, Valia AR, editors. IADVL Textbook of Dermatology. 3rd ed. Volume 59. Mumbai: Bhalani Publishing House; 2008: 1766–1778.
Jaiswal AK, Banerjee S, Matety AR, Grover S. Changing trends in sexually transmitted diseases in North Eastern India. Indian J Dermatol Venerol Leprol. 2002;68:65-6.
Murugesh SB, Sugareddy, Raghunath S. Pattern of sexually transmitted diseases at Davangere. Indian J Sex Transm Dis. 2004;25(1):9-12.
Sarkar S, Shrimal A, Das J, Choudhury SR. Pattern of Sexually Transmitted Infections: A Profile from a Sexually Transmitted Infections Clinic of a Tertiary Care Hospital of Eastern India. Ann Med Health Sci Res. 2013;3(2):206–9.
New Delhi: Government of India. Operational guidelines for programme managers and service providers for strengthening STI/RTI services, National AIDS Control Organization, Ministry of Health and Family Welfare. 2007: 18.
STDs and Pregnancy–CDC Fact Sheet. Center for Disease Control, 2008. Available from: www.cdc.gov/std/pregnancy/STD Fact act-Pregnancy.htm . Accessed on 20 November 2016.
Wellings K, Nanchahal K, Macdowall W, McManus S, Erens B, Mercer CH, et al. Sexual behaviour in Britain early heterosexual experience. Lancet. 2001;358:1843–50.
Sharma S, Tiwari S, Paliwal V, Mathur DK, Bhargava P. Study of patterns of sexually transmitted diseases using a syndromic approach in the era of human immunodeficiency virus from a tertiary care hospital of the Northern India. Indian J Sex Transm Dis. 2015;36(2):158-61.
Saikia L, Nath R, Deuori T, Mahanta J. Sexually transmitted diseases in Assam: An experience in a tertiary care referral hospital. Indian J Dermatol Venereol Leprol. 2009;75:329.
Zamzachin G, Singh NB, Devi TB. STD trends in regional institute of medical sciences, Manipur. Indian J Dermatol Venereol Leprol. 2003;69:151-3.
Krishnamurthy VR, Ramachandran V. STD trends in Chengalpattu hospital. Indian J Dermatol Venereal Leprol. 1996;62:3-12
Kumar B, Sharma VK, Malhotra S. Pattern of sexually transmitted diseases in Chandigarh. Indian J Dermatol Venereal Leprol. 1987;53:286-91.
Nair TG, Asha LK, Leelakumari PV. An epidemiological study of sexually transmitted diseases. Indian J Dermatol Venereol Leprol. 2000;66:69-72.
Jain VK, Dayal S, Aggarwal K, Jain S. Changing trends of sexually transmitted diseases at Rohtak. Indian J Sex Transm Dis. 2008;29:23–5.
Choudhry S, Ramachandran VG, Das S, Bhattacharya SN, Mogha NS. Pattern of sexually transmitted infections and performance of syndromic management against etiological diagnosis in patients attending the sexually transmitted infection clinic of a tertiary care hospital. Indian J Sex Transm Dis. 2010;31:104–8.
Devi SA, Vetrichevvel TP, Pise GA, Thappa DM. Pattern of sexually transmitted infections in a tertiary care centre at Puducherry. Indian J Dermatol. 2009;54:347–9.
Vora R, Anjaneyan G, Doctor C, Gupta R. Clinico- epidemiological study of sexually transmitted infections in males at a rural-based tertiary care center. Indian J Sex Transm Dis. 2011;32:86-9.
Hassan I, Anwar P, Rather S, Sameem F, Majid I, Jabeen Y, et al. Pattern of sexually transmitted infections in a Muslim majority region of North India. Indian J Sex Transm Dis. 2015;36(1):30-4.
