The New Indian Journal of OBGYN 4(1)

Etiological study of vaginal discharge syndrome in RTI clinic attendees in a tertiary care hospital

S S Tankhiwale, M K Sharma, R B Surpam, S S Fussey

ABSTRACT

Objective: The aim of the study is to observe the prevalence and the common causes of vulvovaginitis in the reproductive tract infection (RTI) clinic attendees. Methodology: A total of 2342 patients attending RTI clinic in a tertiary hospital in a period of one year were included in the study. Three vaginal swab were collected. Trichomonas vaginalis is diagnosed by wet preparation and culture in kupferberg medium. Bacterial vaginosis is diagnosed according to nugent’s criteria. Once growth of Candida is obtained on sabouraud’s media, species is identified by conventional method and use of chrome agar medium. Results: Out of 2342 cases, 1053 (44.96%) cases were confirmed in laboratory means syndromic validations were possible in 45% cases. Out of these 1053 cases bacterial vaginosis were seen in 454 (19.38%), Candida in 567 (24.2%) and Trichomonas vaginalis in 32(1.3%) cases. Most common species of Candida were C. albicans 275(48.5%), C. parapsilosis 79 (13.9%) and C. glabrata 72 (12.6%). About 101 Candida species were not identified by crome agar so reported as Candida species. Conclusion: Most common cause of vaginitis was candidial infection followed by bacterial vaginosis in RTI clinic attendees.