Comparative Evaluation of Prevalence of Bacterial Vaginosis among Gynaecology outpatients with Patients with high risk behaviour

Dr Badhuli Samal; Dr Nishat Khan; Dr Jayanthi S Shastri

Volume : VII, Issue : I, January - 2018

Comparative Evaluation of Prevalence of Bacterial Vaginosis among Gynaecology outpatients with Patients with high risk behaviour

Dr Badhuli Samal, Dr Nishat Khan, Dr Jayanthi S Shastri

Abstract :

Introduction:

Bacterial vaginosis is a condition due to the change in the vaginal microflora leading to vaginal discharge. It is a common cause of vaginitis and also increases the risk of acquiring other STIs including HIV by two to five times.

This study was conducted from January 2016 to December 2016 to know the prevalence of bacterial vaginosis in patients attending Gynaecology outpatient department in a tertiary care hospital and compare with the prevalence among commercial sex workers/ females with high risk behavior attending an STD clinic in their area.

Methods :

866 and 166 vaginal swabs were processed in the one year period from Gynaecology outpatient department and STD Clinic (high risk group) respectively for Gram Staining for Nugent score and Candida culture. Records were also analyzed for HIV seropositivity in these patients.

Results :

Bacterial vaginosis was the most common condition followed by Candidiasis in both the groups. The prevalence of BV was 36.95% and 51.2% in the Gynaecology outpatients and High risk patients respectively. The prevalence of Candidiasis was comparable in both the groups at 18.59% and 13.85% in the Gynaecology outpatients and High risk patients respectively. HIV seropositivity in the Gynaecology outpatients was 3.23% and in High risk patients was 8.43%.

Conclusion and Recommendation:

Bacterial vaginosis is the most common etiology followed by Candidiasis in vaginal discharge. Hence regular screening of women attending various healthcare facilities should be made mandatory to reduce the risk and spread of STIs. Emphasis should also be given to reproductive healthcare and education to patients attending high risk OPDs.