A retrospective study of the pattern of sexually transmitted infections during a five-year period at tertiary care hospital in Central India.

Abstract

Abstract Background: Knowledge about the current patterns and trend of sexually transmitted infections (STIs) in different geographical regions is necessary for proper implementation of control measures. Aim: To study the pattern and trend of STIs during a five-year period (2013-17) among patients attending Department of Dermatology, Venereology, and Leprology, Government Medical College and Hospital, Nagpur. Material and methods: Case records of 4552 patients with STIs who attended the Department of Dermatology, Venereology, and Leprology, Government Medical College, Nagpur for five years, from January 2013 to October 2017 were analysed in this retrospective study. Cases had been diagnosed based on the clinical presentation and relevant investigations. Results: Most common age group affected was 31-40 years (34.84%). Balanoposthitis was most common STI in (37.98%) followed by cervicovaginal discharge (30.07%), herpes genitalis (18.65%), molluscum contagiosum (8.26%), condylomata acuminata (1.43%), chancroid (1.43%), genital scabies (1.03%), syphilis (0.63%), urethral discharge (0.48%) and granuloma inguinale (0.11%). About 2.37% cases were human immunodeficiency virus (HIV) positive. Herpes genitalis (46.29%) was the most common STIs in HIV positive patients. Venereal disease research laboratory (VDRL) test was reactive in 0.63% patients. Conclusions: Study concluded that bacterial STIs like syphilis (0.63%), chancroid (1.43%) and granuloma inguinale (0.11%) were less common then viral STIs. The infection rate of syphilis and chancroid has increase dramatically in recent years. Viral STIs were more likely to be associated with HIV than bacterial infections. Balanoposthitis, cervicovaginal discharge and herpes genitalis constitute the major burden of STIs clinic. Key words: sexually transmitted infections, viral, bacterial, HIV