Role of Syndromic Treatment as a Cost-effective Approach for Vaginitis at a Tertiary Care Hospital
OBJECTIVE: To evaluate the clinical characteristics of pathological vaginal discharge & to assess the response of syndromic treatment. METHODOLOGY: This was a cross-sectional observational study. The place of study was Creek General hospital & United Medical and Dental College. The study...
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| Format: | Article |
| Language: | English |
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Liaquat University of Medical and Health Sciences
2021-12-01
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| Series: | JLUMHS |
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| Online Access: | https://www.lumhs.edu.pk/jlumhs/Vol20No05/02.pdf |
| Summary: | OBJECTIVE: To evaluate the clinical characteristics of pathological vaginal discharge & to assess the response of syndromic treatment.
METHODOLOGY: This was a cross-sectional observational study. The place of study was Creek General hospital & United Medical and Dental College. The study period was from September 2017 till December 2018. The sample size was150, this included both pregnant & nonpregnant females with vaginal discharge. Patients with blood-stained vaginal discharge/polyps were excluded. The sampling technique was simple and convenient. After taking informed consent, a proforma was filled which included history and examination details on vaginal discharge. Based on the
type of discharge, treatment was prescribed without HVS which was cost and time-effective. Patients were followed up at 4 and 6 weeks to evaluate response.
RESULTS: Out of 150 patients, 128 (85.3%) were non pregnant& 22 females (14.7%) were pregnant. Maximum patients 25(16.7%) were 28 years. The color of vaginal discharge was greyish white in (32.0 %), curdy white in 56 (37.3%) followed by yellow-green in (13.3%). Positive culture n High vaginal swab was seen in 55(36.7%) with Candida Albicans in 32 (21.3%) while Gardeneralla vaginalis was seen in 8(5.3%)
patients. Negative culture reports were obtained in 95 patients (63.3%). Statistical analysis was done by SPSS 21.
CONCLUSION: This research suggests that syndromic management may be helpful as a first-line treatment for vaginal discharge especially in cases where facilities for high vaginal swabs are not available as this needs extensive lab equipment and setup. The patient's response was assessed. |
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| ISSN: | 1729-0341 2309-8627 |