Pre and post treatment symptomatic assessment of patient with STI receiving syndromic treatment
Journal Title: Indian Journal of Obstetrics and Gynecology Research - Year 2018, Vol 5, Issue 2
Abstract
Introduction The aim of this study is to accesses the use of the syndromic approach towards managing sexually transmitted infections STIs in north western part of India and to make recommendations about the strengths and weakness of syndromic management algorithms and to determine if evidence supports its continued useMaterials and Methods Total of 412 patients diagnosed as STI based on clinical and physical examination were treated based on syndromic approach and finally 240 patients were recruited in the study Diagnosis was made based on signs symptoms and examination Every symptomatic patient suggestive of STI was managed on the basis of algorithms of the syndrome approach and patients were again followed up after completion of treatment for assessment of clinical improvementdeterioration of signs and symptomsResults Vaginal discharge 485 194 out of 400 followed by lower abdominal pain 4675 187 out of 400 were the most common complaints On cervicovaginal smear cytology 3170 1219 and 487 tested positive for bacterial vaginosis leptothrix and candidiasis respectively Syndromic approach for patients of STIs with symptoms of pain abdomen white discharge PV and itching PV are statistically highly significant ChiSquare Value8644 and its p value lt00001 but for genital ulcer and urinary tract infection is statistically not significant ChiSquare Value055 and its p value isgt005Conclusion Syndromic management may be an effective method for clinical management of symptomatic STIs in low resource setting as illustrated in our finding But further research is needed to determine the costbenefit ratio of introducing laboratorybased screening into a comprehensive public health program for the control of commonly seen STIs in populations at risk for STIsKeyword Diagnosis Laboratorybased Sexually Transmitted Infections STIs Syndromic approach Treatment World Health Organisation WHO
Authors and Affiliations
Hemanta Kumar Pradhan, Pratibha Singh, Garima Yadav, Meenakshi Gothwal
Keywords
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- EP ID EP475293
- DOI 10.18231/2394-2754.2018.0046
- Views 92
- Downloads 0
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