Evaluating the utility of syndromic case management for three sexually transmitted infections in women visiting hospitals in Delhi, India

Abstract Utility of syndromic case management (SCM) in women visiting obstetrics & gynecology department needs to be evaluated as it is subjective and imperfect. Consequently, antibiotic resistance has accelerated along with increased risk of infection to the partners. To understand the effectiv...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Subash Chandra Sonkar, Kirti Wasnik, Anita Kumar, Vineeta Sharma, Pratima Mittal, Prashant Kumar Mishra, Mausumi Bharadwaj, Daman Saluja
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2017
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/e7b774ef42894d9bb6db71b453002213
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:e7b774ef42894d9bb6db71b453002213
record_format	dspace
spelling	oai:doaj.org-article:e7b774ef42894d9bb6db71b4530022132021-12-02T11:52:36ZEvaluating the utility of syndromic case management for three sexually transmitted infections in women visiting hospitals in Delhi, India10.1038/s41598-017-01422-y2045-2322https://doaj.org/article/e7b774ef42894d9bb6db71b4530022132017-05-01T00:00:00Zhttps://doi.org/10.1038/s41598-017-01422-yhttps://doaj.org/toc/2045-2322Abstract Utility of syndromic case management (SCM) in women visiting obstetrics & gynecology department needs to be evaluated as it is subjective and imperfect. Consequently, antibiotic resistance has accelerated along with increased risk of infection to the partners. To understand the effectiveness and/or inadequacies of SCM, 11000 women were recruited and examined by clinicians for infection by Chlamydia trachomatis (CT), Neisseria gonorrhoeae (NG), Trichomonas vaginalis (TV), Bacterial vaginosis (BV) and others. Amongst these patients, 1797 (16.3%) reported vaginal discharge (VD). Other symptoms included: vaginitis (97%), cervicitis (75%), genital ulcers (60%), abnormal vaginal discharge (55%) and lower abdominal pain (48%). The patients were treated for single or co-infections using pre-packed National Aids Control Program III STI/RTI Kits. However, based on PCR diagnostics, 1453/1797 (81%) subjects were uninfected for NG/TV/CT. Amongst 344 (19%) infected patients, 257 (75%) carried infection with single pathogen (TV/NG/CT) while 87/344 (25%) were co-infected with multiple pathogens. Prevalence of TV, NG & CT was 4%, 7% and 8% respectively. Co-infection with CT + NG was highest, 51% (44/87), whereas, co-infection with CT + TV was 21% and NG + TV was 18% while co-infection with all three pathogens was 1.3%. We conclude that SCM is imprecise and successful intervention requires accurate and confirmatory diagnostic approach.Subash Chandra SonkarKirti WasnikAnita KumarVineeta SharmaPratima MittalPrashant Kumar MishraMausumi BharadwajDaman SalujaNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 7, Iss 1, Pp 1-9 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Subash Chandra Sonkar Kirti Wasnik Anita Kumar Vineeta Sharma Pratima Mittal Prashant Kumar Mishra Mausumi Bharadwaj Daman Saluja Evaluating the utility of syndromic case management for three sexually transmitted infections in women visiting hospitals in Delhi, India
description	Abstract Utility of syndromic case management (SCM) in women visiting obstetrics & gynecology department needs to be evaluated as it is subjective and imperfect. Consequently, antibiotic resistance has accelerated along with increased risk of infection to the partners. To understand the effectiveness and/or inadequacies of SCM, 11000 women were recruited and examined by clinicians for infection by Chlamydia trachomatis (CT), Neisseria gonorrhoeae (NG), Trichomonas vaginalis (TV), Bacterial vaginosis (BV) and others. Amongst these patients, 1797 (16.3%) reported vaginal discharge (VD). Other symptoms included: vaginitis (97%), cervicitis (75%), genital ulcers (60%), abnormal vaginal discharge (55%) and lower abdominal pain (48%). The patients were treated for single or co-infections using pre-packed National Aids Control Program III STI/RTI Kits. However, based on PCR diagnostics, 1453/1797 (81%) subjects were uninfected for NG/TV/CT. Amongst 344 (19%) infected patients, 257 (75%) carried infection with single pathogen (TV/NG/CT) while 87/344 (25%) were co-infected with multiple pathogens. Prevalence of TV, NG & CT was 4%, 7% and 8% respectively. Co-infection with CT + NG was highest, 51% (44/87), whereas, co-infection with CT + TV was 21% and NG + TV was 18% while co-infection with all three pathogens was 1.3%. We conclude that SCM is imprecise and successful intervention requires accurate and confirmatory diagnostic approach.
format	article
author	Subash Chandra Sonkar Kirti Wasnik Anita Kumar Vineeta Sharma Pratima Mittal Prashant Kumar Mishra Mausumi Bharadwaj Daman Saluja
author_facet	Subash Chandra Sonkar Kirti Wasnik Anita Kumar Vineeta Sharma Pratima Mittal Prashant Kumar Mishra Mausumi Bharadwaj Daman Saluja
author_sort	Subash Chandra Sonkar
title	Evaluating the utility of syndromic case management for three sexually transmitted infections in women visiting hospitals in Delhi, India
title_short	Evaluating the utility of syndromic case management for three sexually transmitted infections in women visiting hospitals in Delhi, India
title_full	Evaluating the utility of syndromic case management for three sexually transmitted infections in women visiting hospitals in Delhi, India
title_fullStr	Evaluating the utility of syndromic case management for three sexually transmitted infections in women visiting hospitals in Delhi, India
title_full_unstemmed	Evaluating the utility of syndromic case management for three sexually transmitted infections in women visiting hospitals in Delhi, India
title_sort	evaluating the utility of syndromic case management for three sexually transmitted infections in women visiting hospitals in delhi, india
publisher	Nature Portfolio
publishDate	2017
url	https://doaj.org/article/e7b774ef42894d9bb6db71b453002213
work_keys_str_mv	AT subashchandrasonkar evaluatingtheutilityofsyndromiccasemanagementforthreesexuallytransmittedinfectionsinwomenvisitinghospitalsindelhiindia AT kirtiwasnik evaluatingtheutilityofsyndromiccasemanagementforthreesexuallytransmittedinfectionsinwomenvisitinghospitalsindelhiindia AT anitakumar evaluatingtheutilityofsyndromiccasemanagementforthreesexuallytransmittedinfectionsinwomenvisitinghospitalsindelhiindia AT vineetasharma evaluatingtheutilityofsyndromiccasemanagementforthreesexuallytransmittedinfectionsinwomenvisitinghospitalsindelhiindia AT pratimamittal evaluatingtheutilityofsyndromiccasemanagementforthreesexuallytransmittedinfectionsinwomenvisitinghospitalsindelhiindia AT prashantkumarmishra evaluatingtheutilityofsyndromiccasemanagementforthreesexuallytransmittedinfectionsinwomenvisitinghospitalsindelhiindia AT mausumibharadwaj evaluatingtheutilityofsyndromiccasemanagementforthreesexuallytransmittedinfectionsinwomenvisitinghospitalsindelhiindia AT damansaluja evaluatingtheutilityofsyndromiccasemanagementforthreesexuallytransmittedinfectionsinwomenvisitinghospitalsindelhiindia
_version_	1718395018638524416

Evaluating the utility of syndromic case management for three sexually transmitted infections in women visiting hospitals in Delhi, India

Ejemplares similares