Utility of Microbiological Profile of Symptomatic Vaginal Discharge in Rural Women of Reproductive Age Group
Introduction: Symptomatic vaginal discharge is the most frequent symptom in women of reproductive age group. Owing to social stigma majority of affected women hesitate to seek medical consultation. Therefore the actual incidence of vaginal discharge is much more than what is reported. The aim of...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2015-03-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/5623/12161_CE(NJ)_F(GH)_PF1(NJAK)_PFA(AK)_PFA2(AK)_PF2(PAG).pdf |
| _version_ | 1818020026135871488 |
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| author | Deepa Lokwani Masand Jaya Patel Sweta Gupta |
| author_facet | Deepa Lokwani Masand Jaya Patel Sweta Gupta |
| author_sort | Deepa Lokwani Masand |
| collection | DOAJ |
| description | Introduction: Symptomatic vaginal discharge is the most
frequent symptom in women of reproductive age group. Owing
to social stigma majority of affected women hesitate to seek
medical consultation. Therefore the actual incidence of vaginal
discharge is much more than what is reported. The aim of the
study is to determine the microbiological profile of symptomatic
vaginal discharge in rural area and its utility in the management
of genital tract infection.
Materials and Methods: This was a descriptive type of
observational study, conducted in sexually active women of
reproductive age group (18-45 years) attending the OPD/IPD of
Obstetrics and Gynaecology Department of National Institute
of Medical Sciences, Shobhanagar, Jaipur (Rajasthan), over
a period of 18 months from June 2012 to December 2013.
Hundred sexually active non pregnant women of reproductive
age group (18-45 years) were included in the study. After
taking consent general physical examination along with pelvic
examination was performed. Two high vaginal swabs and
blood sample were collected for various tests. Hanging drop
preparation was immediately made. This was followed by gram
staining and culture. Chlamydia trachomatis IgM antibody was
detected by ELISA method.
Results: Out of 100 women with symptomatic vaginal
discharge, specific diagnosis was obtained in 89% of cases
whereas no specific aetiology was found in 11% cases. Mean
age was 32.60 years. Fifty-three percent patient had Bacterial
vaginosis, candidiasis was found in 14% cases, 16% had
Chlamydia trachomatis infection while Trichomonas vaginalis
infection was detected in 6% cases. Homogenous discharge
was most prevalent (52%), followed by mucopurulant discharge
in 23% of women.
Conclusion: Patient with symptomatic vaginal discharge need
to be actively managed with appropriate antimicrobial agents.
Judicious management may be helpful in prevention of HIV,
HPV, CIN and post infection sequelae. |
| first_indexed | 2024-04-14T08:00:26Z |
| format | Article |
| id | doaj.art-94d9caa8c4534183919aeaa8c92e6c36 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-04-14T08:00:26Z |
| publishDate | 2015-03-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-94d9caa8c4534183919aeaa8c92e6c362022-12-22T02:04:55ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2015-03-0193QC04QC0710.7860/JCDR/2015/12161.5623Utility of Microbiological Profile of Symptomatic Vaginal Discharge in Rural Women of Reproductive Age GroupDeepa Lokwani Masand0Jaya Patel1Sweta Gupta2Associate Professor, Department of Obstetrics and Gynaecology, National Institute of Medical Sciences, Shobhanagar Jaipur (Rajasthan), India.Student, Department of Obstetrics and Gynaecology, National Institute of Medical Sciences, Shobhanagar Jaipur (Rajasthan), India.Student, Department of Obstetrics and Gynaecology, National Institute of Medical Sciences, Shobhanagar Jaipur (Rajasthan), India.Introduction: Symptomatic vaginal discharge is the most frequent symptom in women of reproductive age group. Owing to social stigma majority of affected women hesitate to seek medical consultation. Therefore the actual incidence of vaginal discharge is much more than what is reported. The aim of the study is to determine the microbiological profile of symptomatic vaginal discharge in rural area and its utility in the management of genital tract infection. Materials and Methods: This was a descriptive type of observational study, conducted in sexually active women of reproductive age group (18-45 years) attending the OPD/IPD of Obstetrics and Gynaecology Department of National Institute of Medical Sciences, Shobhanagar, Jaipur (Rajasthan), over a period of 18 months from June 2012 to December 2013. Hundred sexually active non pregnant women of reproductive age group (18-45 years) were included in the study. After taking consent general physical examination along with pelvic examination was performed. Two high vaginal swabs and blood sample were collected for various tests. Hanging drop preparation was immediately made. This was followed by gram staining and culture. Chlamydia trachomatis IgM antibody was detected by ELISA method. Results: Out of 100 women with symptomatic vaginal discharge, specific diagnosis was obtained in 89% of cases whereas no specific aetiology was found in 11% cases. Mean age was 32.60 years. Fifty-three percent patient had Bacterial vaginosis, candidiasis was found in 14% cases, 16% had Chlamydia trachomatis infection while Trichomonas vaginalis infection was detected in 6% cases. Homogenous discharge was most prevalent (52%), followed by mucopurulant discharge in 23% of women. Conclusion: Patient with symptomatic vaginal discharge need to be actively managed with appropriate antimicrobial agents. Judicious management may be helpful in prevention of HIV, HPV, CIN and post infection sequelae.https://jcdr.net/articles/PDF/5623/12161_CE(NJ)_F(GH)_PF1(NJAK)_PFA(AK)_PFA2(AK)_PF2(PAG).pdfbacterial vaginosischlamydia trachomatis infectiontrichomoniasisvulvovaginal candidiasis |
| spellingShingle | Deepa Lokwani Masand Jaya Patel Sweta Gupta Utility of Microbiological Profile of Symptomatic Vaginal Discharge in Rural Women of Reproductive Age Group Journal of Clinical and Diagnostic Research bacterial vaginosis chlamydia trachomatis infection trichomoniasis vulvovaginal candidiasis |
| title | Utility of Microbiological Profile of Symptomatic Vaginal Discharge in Rural Women of Reproductive Age Group |
| title_full | Utility of Microbiological Profile of Symptomatic Vaginal Discharge in Rural Women of Reproductive Age Group |
| title_fullStr | Utility of Microbiological Profile of Symptomatic Vaginal Discharge in Rural Women of Reproductive Age Group |
| title_full_unstemmed | Utility of Microbiological Profile of Symptomatic Vaginal Discharge in Rural Women of Reproductive Age Group |
| title_short | Utility of Microbiological Profile of Symptomatic Vaginal Discharge in Rural Women of Reproductive Age Group |
| title_sort | utility of microbiological profile of symptomatic vaginal discharge in rural women of reproductive age group |
| topic | bacterial vaginosis chlamydia trachomatis infection trichomoniasis vulvovaginal candidiasis |
| url | https://jcdr.net/articles/PDF/5623/12161_CE(NJ)_F(GH)_PF1(NJAK)_PFA(AK)_PFA2(AK)_PF2(PAG).pdf |
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