Abstract
ABSTRACTIntroductionVaginal discharge and /or infection are very distressing to all women.Vaginal infection encompasses-Vaginosis/vaginitis,Trichomonal vaginitis and Monilial or fungal infection. Vaginal discharge could be due to foreignbody such as ring pessary inserted for uterovaginal prolapse or for induction of abortion by untrained Daisin Nepal. It could be due to physiological condition, such as -during mid menstrual and pregnant state. Astudy of pattern of infection in vaginal discharge has been presented in this study.ObjectiveTo find the pattern of infection in the vaginal discharge of patients attending a private Gynae. Clinic.Material and methodThis is a prospective study done during the period, November 2001 to July 2002 with “Hanging drop method”of the discharge, collected from the vagina.One thousand patients complaining of vaginal discharge with or without itching, burning sensation, pain inthe lower abdomen and subfertility were enrolled in this study.Age, parity, husband’s occupation, family planning methods used, history of drugs intake and subfertilitywere expressed.ResultIt was found that Monilial infection 36.8%,Monilial infectin with vaginitis was found in6.4% Trichomonalinfection 0.9%,Trichomonas with vaginitis 1.3% and vaginitis to be 19.5 % .Thirtyfive percent had had noabnormality in the slide.There were 11 diabetic patients.Seventeen were having some or the other drugsduring the study period. Seventyfour patients revisited for same complaints. Out of which 41 had noabnormalities.The treatment given was, Clotrimazole 200 mg daily locally for three days for 3 courses and Fluconazole150 mg orally single dose for Monilial infection. For trichomonal infection, Metronidazole 200 mg threetimes on day was prescribed to both husband and wife. In case of Vaginitis, Doxycycline 100 mg two timesa day was advised. For pruritus,local application of Betamethasone was given.ConclusionIt was noted that every third patient attending this clinic complained of vaginal discharge but 35% had noabnormality. By this study, the trend of vaginal infection seems to be changing.More Monilial thanTrichomonal infection was found in these patients, in earlier studies the incidence of Trichomonal infectionwas getting less and Monilial infection is getting higher.Key Words: Monilial infection, Trichomonas vaginitis, Non-specific vaginitis.
Highlights
Vaginal discharge and /or infection are very distressing to all women.Vaginal infection encompasses-Vaginosis/ vaginitis,Trichomonal vaginitis and Monilial or fungal infection
It was noted that every third patient attending this clinic complained of vaginal discharge but 35% had no abnormality
The trend of vaginal infection seems to be changing.More Monilial than Trichomonal infection was found in these patients, in earlier studies the incidence of Trichomonal infection was getting less and Monilial infection is getting higher
Summary
Vaginal discharge and /or infection are very distressing to all women.Vaginal infection encompasses-Vaginosis/ vaginitis,Trichomonal vaginitis and Monilial or fungal infection. One in three women wants consultation for vaginal discharge. It is very difficult for a woman to get treatment for vaginal discharge/infection due to the lack of proper diagnosis in the outpatient department (OPD) in many hospitals of Nepal. A sterile cotton swab in a stick was taken and the specimen of vaginal discharge collected from the posterior fornix and put in a sterile bottle. In 1982 a small private clinic was started taking this into serious consideration, as this is a very distressing condition for a patient not life-threatening. For every client complaining of vaginal discharge, a wet swab was taken from the cervical canal and / or from the posterior fornix or from the vaginal orifice and sent to the lab. It was assured that the result was made available within 10 minutes and treatment was started
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
