Published: 2021-10-27

Prevalence of sexually transmitted infections in a tertiary care centre of North India

Amarbir Singh Boparai, Jatinderpal Singh, B. K. Brar, Sukhpreet Kaur Gill


Background: Sexually transmitted infections (STI’s) are most common notifiable infectious diseases in the world. Knowledge of prevalence of STI’s is important to implement appropriate control strategies. This study is undertaken to see any changing trends in prevalence of STI’s by comparing with previous studies.

Methods: All the patients who attended STI clinic from July 2019 to June 2020 were included in the study. Diagnosis was made on basis of history, clinical examination and laboratory investigations.

Results: The 2188 patients were seen from July 2019 to June 2020 in STI clinic. Mean age group of patients is 25-44 years. Scabies (31.6%) was the commonest STI seen in outpatient department followed by balanoposthitis (16.4), vaginal discharge (12.5%), human immunodeficiency virus (HIV) (11.4%), herpetic genital ulcer disease (7.9%), genital warts (5.8%), molluscum contagiosum (2.4%), syphilis (2.4%), urethral discharge (1.7%), non-herpetic genital ulcer disease (0.4%), non-gonococcal urethritis (0.4%).

Conclusions: Scabies was the most common STI reported in our study followed by balanoposthitis and vaginal/cervical discharge. Among the viral STI’s, HIV is showing alarmingly rising trends and is most common viral STI seen in the study followed by herpes simplex virus (HSV). May be there is less reporting of genital herpes simplex infection due to its self-resolution. As compared to previous studies, rising trends of fungal infections are seen which can be due to syndromic management of bacterial STI’s, rising incidence of diabetes mellitus as well as illicit use of over-the-counter broad-spectrum antibiotics given by the local practitioners.


STI’s, India, HIV, Genital ulcer, Vaginal discharge

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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 as I Res. 2013;3:206.

Available at:

statistics/diseases/sexually-transmitted-diseases-india-statistics.asp. Accessed on 2021 Feb 5.

Ryden J. Sexually Transmitted Infections 13. Sex-and Gender-Based Women’s Health: A Practical Guide for Primary Care. 2020;187.

Kposowa AJ. Marital status and HIV/AIDS mortality: evidence from the US National Longitudinal Mortality Study. Int J Infect Dis. 2013;17:e868-74.

WHO. Sexually Transmitted Infections (STIs). Available from: factsheets/fs110/en/index.html. Accessed on 2013 Sep 15.

Thappa DM, Kaimal S. Sexually transmitted infections in India: Current status in except human immunodeficiency virus/acquired immunodeficiency syndrome. Indian J. Dermatol. 2007;52:78.

Agrawal M, Sharma P, Saxena A. A study of sexually transmitted infections among HIV–infected patients in correlation with their CD4 T cell counts. IP Indian J Clin Exp Dermatol. 2020;6:257-60.

Aggarwal A, Arora U. HIV seropositivity among patients with sexually transmitted diseases. Indian J Dermatol Venereol Leprol. 2003;69:23-4.

Puri N, Kumari P. A study on sexually transmitted diseases in patients in a STD clinic in a district hospital in North India. Our Dermat Online. 2014;5:240.

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.

Sharma A, Rattan R, Sood A. Pattern of sexually transmitted infections in a district hospital from Himachal Pradesh. Int J Community Med Public Health. 2017;4:1028-31.

Otero L, Varela JA, Espinosa E, Sánchez C, Junquera ML et al. Sarcoptes scabiei in a sexually transmitted infections unit: a 15-year study. Sexually Transm Dis. 2004;31:761-5.

Amin SS, Sachdeva S, Kirmani S, Kaushal M. Clinico-social profile of sexually transmitted infections and HIV at a tertiary care teaching hospital in India. Comm Acquired Infect. 2014;1:25.

Thappa DM, Singh S, Singh A. HIV infection and sexually transmitted diseases in a referral STD centre in south India. Sex. Transm Infect. 1999;75:191.

Goel S, Chopra D, Choudhary V, Riyat A, Chopra S. Changing trends of sexually transmitted infections and estimation of partner notification at a tertiary care center in North India. Indian J Sex Transm Dis AIDS. 2020;41:176.

Sharma VK, Khandpur SU. Changing patterns of sexually transmitted infections in India. Natl Med J India. 2004;17:310-9.

Wagh P, Bardeskar NS, Kerkar SC, Warke H, Chaudhari H, Mania-Pramanik J. Genital discharge, human papillomavirus screening and contraceptive use in a tertiary care hospital in Mumbai, India. Indian J Dermatol Venereol Leprol. 2020;86:583.

Kumarasamy N, Balakrishnan P, Venkatesh KK, Srikrishnan AK, Cecelia AJ, Thamburaj E, Solomon S, Mayer KH. Prevalence and incidence of sexually transmitted infections among South Indians at increased risk of HIV infection. AIDS patient care STDs. 2008;22:677-82.

Toibaro JJ, Ebensrtejin JE, Parlante A, Burgoa P, Freyre A e. Sexually transmitted infections among transgender individuals and other sexual identities. Medicina. 2009;69:327-30.

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 AIDS. 2010;31:104.

Chugh S, Garg VK, Sarkar R, Sardana K. Clinico-epidemiological profile of viral sexually transmitted infections in seropositive patients attending a tertiary care hospital in North India. J Int Assoc Provid AIDS Care. 2017;16:331-7.