Analysis of socio-demographic and microbiological profile of patients with complaints of leucorrhoea attending at tertiary medical college
Journal Title: Medpulse International Journal of Gynaecology - Year 2018, Vol 8, Issue 3
Abstract
Background: Leucorrhoea and its associated symptoms are the most common complaints of women in Southeast Asia, hence it is imperative to make accurate diagnosis and institute appropriate treatment by identifying the causative microorganisms. Objectives: Analyse socio-demographic and microbiological profile of vaginal discharge in patients. Methodology: This is a prospective non randomized study performed at department of obstetrics and gynaecology of Government Medical College (GMC) Srinagar over a period of 11/2 yr. Patients of all age groups with complaints of leucorrhoea were included except those on antimicrobial treatment, genital prolapse and genital malignancy. After proper consent a detailed history was taken and examination done. Vaginal discharge collected from post and lateral fornices with the help of sterile cotton tipped swabs. One was immediately processed and wet mount prepared. The other swab was used for gram staining and culture. Result: Most of the patients (47%) fell within 20-29 years of age group and 76% of patients belonged to rural population. 57% of the patients were illiterates and 67% of the patients belonged to socio-economic status IV,V. 72% of the patients were housewives by occupation. 57% of patients had bacterial vaginosis while 35% had candidiasis and 3% trichomoniasis. Conclusion: Lower socio-economic status, poor hygiene, high illiteracy, rural population are associated with increased prevalence of leucorrhoea, so improvement in living standards, hygienic conditions, mass education and by creating awareness about this disease can decrease the prevalence. The most ideal approach is micro-biological diagnostic approach for etiological diagnosis of symptomatic vaginal discharge. It helps in institution of appropriate anti-microbial therapy and prevents long term sequelea and can improve the quality of life of a woman.
Authors and Affiliations
Ufaque Muzaffar, Farhat Jabeen
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