Indian J Sex Transm Dis Indian J Sex Transm Dis
Official Publication of the Indian Association for the Study of Sexually Transmitted Diseases
Indian J Sex Transm Dis
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Year : 2014  |  Volume : 35  |  Issue : 2  |  Page : 118-123

Validation of vaginal discharge syndrome among pregnant women attending obstetrics clinic, in the tertiary hospital of Western India

1 Department of Obstetrics and Gynaecology, Government Medical College, Baroda, India
2 Department of Community Medicine, Government Medical College, Baroda, India
3 Department of Community Medicine, GMERS Medical College, Gotri, Gujarat, India
4 Department of Skin and VD, Government Medical College, Baroda, India

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Maitri Shah
30, Gulabchand Park, Opposite Ambalal Park, Kareli Baug, Baroda - 390 018, Gujarat
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0253-7184.142406

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Introduction: Sexually transmitted infections (STIs) are major public health problem. The laboratory tests for diagnosing STI are often unavailable or too expensive. Therefore, World Health Organization has recommended a syndromic approach for diagnosis and management of STI/reproductive tract infections (RTIs). Very few studies so far had evaluated effectiveness of the syndromic approach in diagnosing STI/RTIs in pregnancy. Aims and Objectives: Validation of syndromic management for vaginal discharge syndrome in pregnancy. Materials and Methods: A cross-sectional study was carried out which included 233 pregnant females attending obstetric clinic. They were subjected to clinical examination, vaginal swab collection, and serological tests. Results: A total of 183 (78.54%) pregnant females had vaginal discharge on clinical examination and Candida albicans was the most common clinical diagnosis among them. Of 183 cases diagnosed clinically as vaginal discharge syndrome, 38 (20.7%) were tested positive in laboratory investigations. Out of 50 clinically negative cases, 9 (18%) were detected positive for one of the STIs on laboratory testing. Conclusion: Syndromic approach for management of vaginal discharge syndrome resulted in over-treatment of 78% (false positive) and under-diagnosis of 19.1% (false negative) pregnant females. Hence, integration of antenatal screening services in the form of laboratory tests for vaginal discharge is recommended.

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