Role of syndromic treatment as a cost-effective approach for vaginitis at a tertiary care hospital

Authors

  • Kaweeta Kumari United medical and dental college, Creek general hospital

Abstract

OBJECTIVE: To evaluate the clinical characteristics of pathological vaginal discharge & to assess the response of syndromic treatment. 

METHODOLOGY: This was a cross-sectional observational study. The place of study was Creek General hospital & United Medical and Dental College. The study period was from

September 2017 till December 2018. The sample size was150, this included both pregnant & non-pregnant females with vaginal discharge. Patients with blood-stained vaginal discharge/polyps were excluded. The sampling technique was simple and convenient. After taking informed consent, a proforma was filled which included history and examination details on vaginal discharge. Based on the type of discharge, treatment was prescribed without HVS which was cost and time-effective. Patients were followed up at 4 and 6 weeks to evaluate response.

RESULTS: Out of 150 patients, 128 (85.3%) were non pregnant& 22 females (14.7%)   were pregnant. Maximum patients 25(16.7%) were 28 years. The color of vaginal discharge was greyish white in (32.0 %), curdy white in 56 (37.3%) followed by yellow-green in (13.3%). Positive culture on High vaginal swab was seen in 55(36.7%) with Candida Albicans in 32 (21.3%) while Gardeneralla vaginalis was seen in 8(5.3%) patients. Negative culture reports were obtained in 95 patients (63.3%). Statistical analysis was done by SPSS 21.

CONCLUSION:  This research suggests that syndromic management may be helpful as a first-line treatment for vaginal discharge especially in cases where facilities for high vaginal swabs are not available as this needs extensive lab equipment and setup.  The patient's response was assessed. 

KEYWORDS: Vaginal discharge, high vaginal swab, sensitivity, clinical, syndromic, treatment, culture. 

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Published

2022-01-03

How to Cite

1.
Kumari K. Role of syndromic treatment as a cost-effective approach for vaginitis at a tertiary care hospital. J Liaq Uni Med Health Sci [Internet]. 2022 Jan. 3 [cited 2024 May 5];20(5):294-9. Available from: http://ojs.lumhs.edu.pk/index.php/jlumhs/article/view/813

Issue

Vol. 20 No. 5 (2021): Journal of Liaquat University of Medical & Health Sciences

Section

Original Articles

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