Krishna Ray|Sumathi Muralidhar|Manju Bala|Madhu Kumari|Sudha Salhan|Sumedha Gupta|M Bhattacharya
Comparative study of syndromic and etiological diagnosis of reproductive tract infections/sexually transmitted infections in women in Delhi
Vardhman Mahavir Medical College & Safdarjung Hospital|Vardhman Mahavir Medical College & Safdarjung Hospital|Vardhman Mahavir Medical College & Safdarjung Hospital|Vardhman Mahavir Medical College & Safdarjung Hospital|Vardhman Mahavir Medical College & Safdarjung Hospital|Vardhman Mahavir Medical College & Safdarjung Hospital|National Institute of Health and Family Welfare
adequacy world health organizations syndromic approach diagnosis management sexually transmitted diseases stds especially primary health centers phcs levels still debatable different settings india requires validationa crosssectional study carried women attending peripheral government clinics delhi order 1 enumerate selfreported reproductive tract infection rtisexually transmitted infection sti symptoms 2 assess clinical status 3 determine syndromic diagnosis rtisti symptomatic women etiological diagnosis symptomatic asymptomatic women 4 compare level agreement selfreporting morbidity syndromic etiological diagnosisthe study conducted 26 months 4090 women attending peripheral government healthcare centers rural urban four zones delhi recruited four different study groups group nonpregnant reporting symptoms rtisti group ii bad obstetric history infertility group iii pregnant women trimester attending antenatal clinic group iv control group gynecological examination followed collection genital specimens blood performed informed written consent obtained every symptomatic patient managed basis algorithms syndromic approach recommended national aids control organisation naco india specimens transported std reference laboratory safdarjung hospital new delhi processed standard methods diagnose various stds laboratory reports sent clinicians appropriate treatment instituted data analyzed applying statistical methodsoverall selfreporting morbidity 650 however percentage women stdrelated syndrome 714 rural women observed significantly std syndromes urban counterparts etiological diagnosis could established 322 casesthis study highlights wide variation selfreporting morbidity syndromic etiologybased diagnosis women rural urban settings implications syndromic approach sti case management observations call review diagnostic policy rtisstis national authorities order avoid overuse antimicrobials study also highlights need introduction andor strengthening facilities simple diagnostic tests rtisstis especially peripheral healthcare level