Incidence of various causes of vaginal  discharge based on simple laboratory methods  on OPD bases in pregnant & nonpregnant  women of 11–60 year age group

Dr. Niralee S. Mahakal; Dr. Avanita D. Solanki; Dr.Neela Patel; Dr. Rikeeta S. Deshmukh

Volume : II, Issue : VII, July - 2013

Incidence of various causes of vaginal discharge based on simple laboratory methods on OPD bases in pregnant & nonpregnant women of 11–60 year age group

Dr. Niralee S. Mahakal, Dr. Avanita D. Solanki, Dr. Neela Patel, Dr. Rikeeta S. Deshmukh

Abstract :

Vaginal discharge is the commonest problem faced by women, presenting with itching, pain &/or irritation of the vulva, main causes are candidial, bacterial and trichomonal infection. 272 women with vaginal discharge were included in the study who attended skin OPD. Commonest age-group with vaginal discharge was 20-40 years(83%), among these 21% patients were pregnant. 55% referred by gynecology department & 45% directly attended skin OPD. According to our assessment, based on laboratory tests, causes of vaginal discharge were candidial(46%), trichomonal(31%), bacterial(13%), mixed(5%) infections & 5% patients presented with physiological discharge. Candidial infection was associated with pH≤4.5, for this 10% KOH test (sensitivity=0.47, specificity=0.93, ppv=0.86); for bacterial vaginosis pH>4.5, whiff test(sensitivity=0.68, specificity =0.98, ppv=0.86) and for trichomonas vaginalis pH>4.5, wet mount(sensitivity= 0.46 specificity =0.98, ppv=0.85)