THE SOCIODEMOGRAPHIC CHARACTERISTICS, CLINICAL PROFILE AND TREATMENT RECORDS OF ANOGENITAL WARTS IN EASTERN UTTAR PRADESH- A RETROSPECTIVE EVALUATION FROM TREATMENT RECORDS AT A TERTIARY CENTRE
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2016, Vol 5, Issue 12
Abstract
BACKGROUND Human Papillomavirus (HPV) infection is one of the most prevalent Sexually Transmitted Disease (STD). Up to the researchers’ knowledge, no study concerning the genital warts in Eastern Uttar Pradesh was published, which was a motivation to study this problem. AIMS A retrospective study in the referral centre for Sexually Transmitted Infections (STIs) in Eastern UP to describe the sociodemographic characteristics, clinical profile and treatment of anogenital warts in Eastern Uttar Pradesh. DESIGN Retrospective cross-sectional study. MATERIAL AND METHODS All patients with the diagnosis of anogenital warts between the years 2009-2013 confirmed at the tertiary centre were examined retrospectively. Age, sex, sexual orientation, month of diagnosis, duration of infection, site of warts, treatment given and duration of treatment were noted. Other STD found in these patients was recorded. The outcomes of the treatment modalities for the treatment of anogenital warts during the study period were compared. STATISTICAL ANALYSIS Fisher test to compare outcomes of 2 treatment modalities. RESULTS Maximum burden of the disease was in the patients of age group 25-35 years with 193/640 (30.2%) patients in the category. Majority (67.5%) of the patients were male, majority (58.6%) belonged to rural areas; 87.2% had a positive history of contact; 66/548 (12.04%) had homosexual relationship; 30.5% patients accepted that their mode of acquisition was through contact with commercial sex workers. Mean duration of warts before approach for treatment was 2-4 months. Majority of male patients had penile warts (51.4%) and majority of female patients had warts on the post fourchette (41.3%); 83.8% patients accepted the fact of never adapting the means of safe sexual practices; 59.5% patients had more than 1 sexual partners; 20% of patients had records of other STD’s as well, majority being HIV and herpes. The treatment of warts continues to be problematic. In my study podophyllin (20%) proved to be a much better treatment modality than imiquimod (5%) for the treatment of genital warts. CONCLUSION From treatment records prevalence of anogenital warts seem to be much lower than stated in the national records. The difference noted may be on account of study methodology of treatment records rather than active surveillance of patients. Statistically significant results with podophyllin as a better treatment option were seen.
Authors and Affiliations
Harleen , Anil Gupta, Santosh Singh, Rakesh Patel , Pawan Patel , Raj , Avnish
Keywords
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- EP ID EP159559
- DOI 10.14260/jemds/2016/112
- Views 58
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