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Category: Volume 05 Issue 12 December 2017
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Title: Our Experience on Vaginal Discharge in Reproductive Age Groups Causing By Microorganisms in a Tertiary Care Indian Teaching Hospital

Authors: Basanta Kumar Pati, Rajesh Kumar Lenka, Mahesh Chandra Sahu

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i12.26

Abstract

Background: The abnormal vaginal discharge in reproductive age group is a common clinical problem for female. It is the second most common problem after abnormal uterine bleeding. It is a neglected health problem, most commonly caused due to vulvovaginal candidiasis, and bacterial vaginosis (BV).

Objectives: The present study was studied to know the prevalence of common organisms causing vaginal discharge and also to know the variety of clinical presentation.

Materials and Methods: In this prospective study 100 women in the reproductive age were participated who were complained unusual discharge at Out patients department of Ostetrics and Gynaecology, IMS and SUM hospital, Bhubaneswar, between September 2012 and September 2014. A total of 100 women in the reproductive age group who had symptoms of vaginitis were examined. Data were coded and analyzed.

Results: Out of the 100 patients examined, 77 (77%) cases were organism positive. Among the positive cases, BV (27%) was the most common microbiological cause of abnormal vaginal discharge, followed by trichomoniasis (25%), vaginal candidiasis (22%), combined infection (Candida and BV) (3%), and nonspecific cases (23%).

Conclusion: Out of 100 cases, few cases showed discordance between clinical and laboratory diagnosis. This discordance can be due to pitfalls in identifying the causative agent clinically or obscuring of the findings due to improper treatment received for other ailments. Thus, clinico-investigative correlation is more important than other clinical findings alone.

Keywords: Bacterial vaginosis, candidiasis, nonspecific vaginitis, trichomoniasis.

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Corresponding Author

Dr Rajesh Lenka

Associate Professor, Department of Microbiology,

IMS and SUM hospital, Siksha “O” Anusandhan University, K8,

Kalinganagar, Bhubaneswar-751003, Odisha, India