Changing trends in sexually transmitted infection (STI) clinic attendees - Current scenario

Abstract

Background: Currently, sexually transmitted infections (STIs) form a huge public health issue in the global scenario. STIs are commonly more active than other prevailing infections in the community amongst the sexually active population and the epidemiological profile is very distinct and more dynamic than other diseases. Aims & Objectives: To understand the changing scenario of STIs and also the non-STIs among patients attending the STI clinic at the tertiary care centre. Materials and Methods: This is a tertiary care based retrospective study of all the patients attending the STI clinic at the department of Dermatology, Venereology and leprology (DVL), Gandhi Hospital, Secunderabad, for 3 years (from January 2011 to December 2013). STIs were categorized into different syndromes as per the syndromic management of STIs, as depicted by National AIDS Control Organization (NACO). Results: A total of 7,859 patients, with complaints of genital lesions, attending the STI clinic, were included in this study. Our study, from 2011 to 2013, showed a declining trend in bacterial STIs and increasing trend of fungal and viral STIs as seen in developing nations. The most common STI in males was candidial balanoposthitis, and females is vaginal/cervical discharge (candidial) followed by viral infections like genital herpes and condyloma acuminata. Conclusion: A comprehensive study of the epidemiological data is very important in order to decrease the incidence and prevalence of STIs and HIV. In order to decrease the incidence and prevalence of STIs and HIV, we need to further impart health education, counselling and improve the standards of health care facilities.

Rising Trend of Sexually Transmitted Infections Amongst the Patients Attending the Dermatology Opd, Jnims, in the Last Five Years (2011-2015)

“…The Male-to-Female ratio of patients who presented to the clinic was 1:3.6, which is in broad concordance with the study done by Patel N et al 6 (1:2.4), but it is contrary to the study done by Nair TG et al 7 and Arakkal et al 8 where the male-tofemale ratio is 2:1. Such a high ratio in females is understandable from the fact that a major chunk of the patient fell under the category of vaginal candidiasis.…”

“…8 A retrospective data analysis from 1994 to 1998 at Medical College, Trivandrum showed that the commonest STD was syphilis, both in men and women followed by genital herpes and condyloma acuminate. 8 In the present study an increase in the incidence of candidiasis and genital wart has been noted, while there is a decrease in the incidence of syphilis. Thus to conclude, sexually transmitted disease continues to be a major public health problem.…”

Candidal Balanoposthitis – A Retrospective Study in a Tertiary Care Centre of South India

“…Similar higher incidence of candidal balanoposthitis had been reported by Sharma et al, [14] Arakkal et al, [15] Murugesh et al [16] and Siddappa et al [17] Its occurrence was found to be more common in the sexually active younger age group but a significant number of older patients above the age of 61 years were also affected as older age is one of the risk factor for it. [9] Diabetes mellitus was found to be the predisposing factor in 90.74% of our patients with candidal balanoposthitis.…”

Changing trends in sexually transmitted infections at a rural-based tertiary health-care center in Gujarat: An 8-year study

“…Percentage of patients with herpes genitalis ranged from 2.3% to 32.8% in various studies across India. [ 1 2 3 5 6 7 8 9 ] Chancroid was the second most common ulcerative STI in our study in 79 (1.5%) patients. Although there was a rise in number of patients of chancroid and syphilis from 2008 to 2010, a declining trend was seen thereafter till 2015.…”

“…Most common age group affected was between 25-44 years (55.13%) in both males and females which was similar to many other studies. [ 1 2 3 4 5 6 7 8 ] Twenty-one (0.4%) patients were homosexual, 40 (0.8%) were bisexual, and rest 5213 (98.8%) were heterosexual. These findings were similar to study conducted at Puducherry.…”