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LETTER TO EDITOR  
Year : 2019  |  Volume : 44  |  Issue : 1  |  Page : 62-63
 

Profile of reproductive tract infections among attendees of reproductive tract infection/sexually transmitted infection clinic in a Tertiary Care Institute of Ahmedabad, Gujarat


1 Department of Community Medicine, GMERS Medical College, Ahmedabad, Gujarat, India
2 Department of Dermatology, GMERS Medical College, Ahmedabad, Gujarat, India

Date of Submission13-Feb-2018
Date of Acceptance02-Jan-2019
Date of Web Publication12-Mar-2019

Correspondence Address:
Dr. Manish M Rana
Department of Community Medicine, GMERS Medical College, Sola, SG Highway, Ahmedabad - 380 060, Gujarat
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijcm.IJCM_32_18

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How to cite this article:
Agrawal N, Rana MM, Patel KB, Bapat N. Profile of reproductive tract infections among attendees of reproductive tract infection/sexually transmitted infection clinic in a Tertiary Care Institute of Ahmedabad, Gujarat. Indian J Community Med 2019;44:62-3

How to cite this URL:
Agrawal N, Rana MM, Patel KB, Bapat N. Profile of reproductive tract infections among attendees of reproductive tract infection/sexually transmitted infection clinic in a Tertiary Care Institute of Ahmedabad, Gujarat. Indian J Community Med [serial online] 2019 [cited 2019 May 24];44:62-3. Available from: http://www.ijcm.org.in/text.asp?2019/44/1/62/253920




Sir,

According to the World Health Organization estimates, more than 1 million sexually transmitted infections (STIs) are acquired every day among which chlamydia, gonorrhea, syphilis, and trichomoniasis contribute to the majority of STIs.[1] Community-based studies quote reproductive tract infection/STI (RTI/STI) prevalence of 28.3%–43.9%,[2],[3],[4],[5] while 30–35 million new cases of RTI/STI are estimated every year.[6] This study was undertaken to see trends in RTI over a period of 4 years (2012–2016) in RTI/STI clinic of Sola Civil Hospital and referral patterns of patients from various departments of Sola Civil Hospital to RTI/STI clinic.

Secondary data of patients attending RTI/STI clinic in Sola Civil Hospital from registers in RTI/STI clinic for 4 years (2012–2016) were obtained after acquiring due permission from Gujarat State AIDS Control Society. RTI/STI clinic register after 2012 was maintained by the current STI counselor, while prior to 2012, was maintained by another counselor, which was not amenable to correction of data errors and hence not included in the study. Register with data of patients from January 2012 to March 31, 2016 was available and was analyzed. Data of 1st quarter of 2016 were analyzed separately. The current STI register in use was having data since April 1, 2016 and was not available for data entry.

A total of 9406 patients had sought treatment form RTI/STI clinic of Sola Civil Hospital from January 2012 to March 2016. A higher proportion of males (58.1%) sought treatment from STI clinic. The proportion of male patients increased from 53.7% in 2012 to 67.6% in 2015, while the overall patients seeking care at STI declined from 2908 in 2013 to 1477 in 2015 [Figure 1]. Overall male to female ratio in our study was 1.4:1 which is lower than Choudhry et al. (2:1).[7]
Figure 1: Year and sex wise distribution of patients attending reproductive tract infection/sexually transmitted infection clinic

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Sola Civil Hospital is located in Ahmedabad city, and hence majority of patients were from the urban area (86.9%), i.e., Ahmedabad city and the rest from rural areas.

Majority of patients were in the age group of 20–29 years followed by 30–39 years and 40–49 years together contributing to 80% of the total patient load at RTI/STI clinic which is comparable to Bhilwar et al.[5] and Choudhry et al.[7] The youngest patient was 1-year-old child, and eldest was 85-year-old female.

Majority of patients were categorized as having asymptomatic syphilis (24.7%) followed by lower abdominal pain (16%), other RTI (11.1%), genital molluscum (10%), anorectal discharge (ARD) (7.8%), vaginal/cervical discharge (7.3%), genital ulcer disease-non-herpetic (GUD-NH) (6.5%), GUD-Herpetic (GUD-H) (6.2%), and other syndrome in descending frequency [Table 1]. These findings are comparable to other community-based studies.[2],[3],[4],[5] ARD (7.8%), genital pediculosis (4.4%), and painful scrotal swelling (3.5%) patients were treated in STI clinic of our institute while they were not reported in other studies. No particulars regarding RTI/STI syndrome of 1112 (1029 + 83 blank) patients seeking care at RTI/STI clinic was available.
Table 1: Distribution of reproductive tract infection/sexually transmitted infections patients according to National AIDS Control Organization sexually transmitted infections syndromic case management chart

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Majority of patients were referred from the department of dermatology (44.1%) and obstetrics and gynecology (23%) with few patients referred from integrated counseling and testing centers (10.8%), referral by spouse (9.4%), and other departments of hospital.

Asymptomatic syphilis, lower abdominal pain, and genital molluscum were top three most common RTI in RTI clinic of Sola Civil Hospital. Syndromic approach is effective in treating these patients. Adult males are majority of beneficiaries to utilize the services of RTI/STI clinic. Health education for personal hygiene and safer sexual practices can reduce the burden of RTI/STI among adults.

Secondary data from RTI/STI clinic register are amenable to errors in data entry which in present circumstance could not be rectified (1112 entries were ineligible).

Acknowledgment

We would like to acknowledge the permission and support of Gujarat State AIDS Control Society for conducting this research.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
   References Top

1.
WHO. Sexually Transmitted Infections (STIs). Available from: http://www.who.int/mediacentre/factsheets/fs110/en/index.html. [Last accessed on 2013 Sep 15].  Back to cited text no. 1
    
2.
Parashar A, Gupta BP, Bhardwaj AK, Sarin R. Prevalence of RTIs among women of reproductive age group in Shimla city. Indian J Community Med 2006;31:15-7.  Back to cited text no. 2
  [Full text]  
3.
Patel V, Weiss HA, Mabey D, West B, D'Souza S, Patil V, et al. The burden and determinants of reproductive tract infections in India: A population based study of women in Goa, India. Sex Transm Infect 2006;82:243-9.  Back to cited text no. 3
    
4.
Balamurugan SS, Bendigeri N. Community-based study of reproductive tract infections among women of the reproductive age group in the urban health training centre area in Hubli, Karnataka. Indian J Community Med 2012;37:34-8.  Back to cited text no. 4
[PUBMED]  [Full text]  
5.
Bhilwar M, Lal P, Sharma N, Bhalla P, Kumar A. Prevalence of reproductive tract infections and their determinants in married women residing in an urban slum of North-East Delhi, India. J Nat Sci Biol Med 2015;6:S29-34.  Back to cited text no. 5
    
6.
National Health Portal. Available from: https://www.nhp.gov.in/disease/reproductive-system/sexually-transmitted-infections-stis. [Last accessed on 2018 Jan 29].  Back to cited text no. 6
    
7.
Choudhry S, Ramachandran VG, Das S, Bhattacharya SN, Mogha NS. Pattern of sexually transmitted infections and performance of syndromic management against etiological diagnosis in patients attending the sexually transmitted infection clinic of a tertiary care hospital. Indian J Sex Transm Dis AIDS 2010;31:104-8.  Back to cited text no. 7
    


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