DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20173487

Prevalence of sexually transmitted infections at a tertiary hospital in Tamil Nadu

Durga K., Karthika K.

Abstract


Background: Sexually transmitted infections (STIs) present a huge burden of disease and adversely affect the reproductive health of people. The disease prevalence is about 6% in India. This study is done to determine the prevalence of STIs in women of reproductive age (15-49yrs) attending gynaec outpatient block at Institute of Obstetrics and Gynaecology, Chennai and to identify the risk factors.

Methods: It is a prospective analytical study conducted at IOG from Febraury 2010 to January 2011 where 1000 women of reproductive age attending gynec op were included of which 500 women were asymptomatic and 500 women were symptomatic for STIs. A well-structured proforma was prepared for selection of women, history, examination, investigations and treatment. Asymptomatic women were also screened and treated. Partners were also screened and treated. Depending upon the statistical data, the risk factors were identified and analysed.

Results: Overall prevalence of STI was 27.2% of which 22.5% was in symptomatic group and 4.7% in asymptomatic group. Bacterial vaginosis was the commonest STI. The important risk factors identified were age group between 26-30 years, high risk sexual behaviours, poor socioeconomic factors, poor menstrual hygiene and lack of contraception.

Conclusions: STIs cause major health problem and it is important to diagnose and treat them at the earliest. The importance of STIs has been more widely recognised since the advent of the HIV/AIDS epidemic, and there is good evidence that their control can reduce HIV transmission. Women diagnosed with one STI should be screened for other STI due to coexistant infections. Screening and treatment of partners and follow-up tests of cure should be performed wherever possible.


Keywords


Bacterial vaginosis, Sexually transmitted infections

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References


World Health Organization. Global prevalence and incidence of selected curable sexually transmitted infections: overview and estimates. Geneva: WHO; 2001.

Gilson L, Mkanje R, Grosskurth H, Mosha F, Picar J, Gavyole A, et al. Cost-effectiveness of improved treatment services for sexually transmitted diseases in preventing HIV-1 infection in Mwanza Region, Tanzania. Lancet. 1997;350:1805-9.

National guidelines on prevention, management and control of RTI/ STI; 2007.

Grover S, Rajagopal R. Trends of sexually transmitted infections: A 33 year experience. Med J Armed Forces India. 2009;65(3):235-6.

Varghese B, Maher JE, Peterman TA, Branson BM, Steketee RW. Reducing the risk of sexual HIV transmission: quantifying the per-act risk for HIV on the basis of choice of partner, sex act, and condom use. Sex Transm Dis. 2002;29(1):38-43.

Burchell A. Modeling the sexual transmissibility of human papillomavirus infection using stochastic computer simulation and empirical data from a cohort study of young women in Montreal, Canada. Am J Epidemol. 2006;169(3):534-43.

The Cringe Report. By Susan Quilliam.; J Fam Plann Reprod Health Care. 2011;37(2):110-2.

Thomas K, Thyagarajan SP, Jeyaseelan L, Varghese JC, Krishnamurthy P, Bai LA et al. Community prevalence of sexually transmitted diseases and human immunodeficiency virus infection in Tamil Nadu, India: a probability proportional to size cluster survey. Natl Med J India. 2002;15(3):135-40.

Shehla Sami, Shahnaz Naseer Baloc, Vaginitis and Sexually Transmitted Infections in a Hospital Based Study. JPMA. 2005;55:242.

Kosambiya, Desai. RTI/ STI prevalence among urban and RURAL WOMEN OF SURaT: a community based study. Indian J Sex Transm Dis. 2009;30:89-93.

Mishra A, Verma P, Marathe N. Study of the Profile of Patients with STDs Attending an STD Clinic in J.A.H., Gwalior Indian J Community Med. 2008; 33(4):263-4.

Bansal KM, Singh K, Bhatnagar S. Prevalence of lower RTI among married females in the reproductive age group (15-45). Health Population. 2001;24:157-63.

Helen J, Sulochana P, Kathleen A, Kurz M. reproductive tract infections among young married women in Tamil Nadu, India. Int Fam Plann Perspec. 2005;31(2):73-82.