Pattern of sexually transmitted infections and performance of syndromic management against etiological diagnosis in patients attending the sexually transmitted infection clinic of a tertiary care hospital
2010

Study on Sexually Transmitted Infections and Syndromic Management

Sample size: 300 publication Evidence: moderate

Author Information

Author(s): Choudhry Shilpee, Ramachandran V. G. Das, Shukla Bhattacharya S. N., Mogha Narendra Singh

Primary Institution: UCMS & GTB Hospital, Delhi, India

Hypothesis

What is the pattern of common STIs and how effective is syndromic management compared to laboratory diagnoses?

Conclusion

Viral STIs are the major burden in the STI clinic, and syndromic management has limitations that need to be addressed.

Supporting Evidence

  • The mean age of patients was 24 years.
  • Genital herpes was the most common STI, affecting 28.7% of patients.
  • Syndromic management showed high sensitivity for some STIs but low specificity.
  • 35% of patients had more than one STI at the time of presentation.
  • The seroprevalence of HIV was found to be 10.3%.

Takeaway

This study looked at people with sexually transmitted infections and found that many have viral infections, which can make it easier to spread HIV.

Methodology

The study included 300 patients attending an STI clinic, who were screened for STIs using standard microbiological methods.

Potential Biases

Potential bias due to reliance on self-reported data and the exclusion of asymptomatic patients.

Limitations

The study relies on syndromic diagnosis due to limited laboratory infrastructure, which may lead to overdiagnosis.

Participant Demographics

62% of participants were aged 20-30 years, 64% were male, and many had multiple sexual partners.

Statistical Information

Confidence Interval

95% CI for various STIs reported in the study.

Digital Object Identifier (DOI)

10.4103/2589-0557.74998

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