Syndromic approach for diagnosis of reproductive tract infections among women attending gynaecology OPD in a teaching hospital

2019 ◽  
Vol 11 (3) ◽  
pp. 122-125
Author(s):  
Surabhi Saharan ◽  
◽  
Jaya Choudhary ◽  
Aakarsh Sinha ◽  
◽  
...  
Keyword(s):  
Teaching Hospital ◽  
Reproductive Tract ◽  
Reproductive Tract Infections ◽  
Syndromic Approach ◽  
Tract Infections

scholarly journals Prevalence of Reproductive Tract Infections/Sexually Transmitted Infections among Rural Married Women – A Community Based Study Using Syndromic Approach

Healthline ◽  
2020 ◽  
Vol 11 (2) ◽  
pp. 72-81
Author(s):  
Anita Punia ◽  
Jyoti Yadav ◽  
Babita ◽  
Sanjay Kumar Jha ◽  
Sanjeet Singh ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Sexually Transmitted Infections ◽  
Rural Areas ◽  
Reproductive Tract ◽  
Married Women ◽  
Reproductive Tract Infections ◽  
Community Based ◽  
Sexually Transmitted ◽  
Syndromic Approach ◽  
Tract Infections

Introduction: Reproductive Tract Infections (RTIs) and Sexually transmitted infections (STIs) continue to be a major public health problem and affecting women's health. Objectives: To estimate the prevalence of RTIs/STIs among married women aged 18-49 years in rural areas and to determine the factors associated with these conditions. Method: A community-based cross-sectional study was carried out among 308 eligible married women aged 18-49 years in rural areas in District Sonipat, Haryana using the WHO-Syndromic Approach for diagnosis of RTIs/STIs. Results: The mean age of study subjects in our study was 32.1 years (SD = ± 8.3 years) with a range from 18 to 49 years. The overall RTIs/STIs prevalence was 49.3%. The most frequent symptom was vaginal discharge (55.3%) followed by pain during micturition (34.2%), dyspareunia (26.9%), pain lower abdomen (24.3%) and vulval itching (16.4%). RTI/STI symptoms were found significantly more among women who had history of any chronic disease, who had irregular menstrual cycles, used cloths as sanitary pads and among those whose husbands were substance users. Conclusions: This study revealed a high prevalence (49.3%) of RTIs/STIs. Awareness about symptoms of RTIs, menstrual and personnel hygiene, raising literacy level of women, drive against use of addictive substances etc. by husbands is needed for control and prevention of RTIs. Primary health care services in respect of reproductive health should be strengthened and raising awareness among women about reproductive health issues through suitable communication strategies in order to bring about a positive behavior change for effective control of STIs.

scholarly journals A study of syndromic and etiological approach for the diagnosis of reproductive tract infections

2018 ◽  
Vol 7 (6) ◽  
pp. 2147
Author(s):  
Surbhi Saharan
Keyword(s):  
False Positive ◽  
Vaginal Discharge ◽  
Reproductive Tract ◽  
False Negative ◽  
Reproductive Tract Infections ◽  
Major Health Problem ◽  
Pain Abdomen ◽  
Lower Pain ◽  
Syndromic Approach ◽  
Tract Infections

Background: Reproductive tract infections (RTIs) are one of the most common and major health problem around the world and they are much more widespread in developing countries than in developed countries due to Inadequate health services.Methods: Detailed history including, menstrual, obstetric and sexual history of the patients were taken and general, physical and local examination was done and clinical symptoms and sign were noted using a structured screening proforma.Results: In our study syndromic approach has a moderate diagnostic accuracy in detecting vaginal discharge syndrome and pain abdomen syndrome. Syndromic diagnosis is low cost effective, more acceptable and easily available at primary and secondary health centre. It should be continued as first line management.Conclusions: In present study the vaginal discharge syndrome has sensitivity of 64.71% and specificity of 57.14%, PPV 61.11%, NPV 60.87% and accuracy is 61%. If treatment is given only on the basis of syndromic approach for vaginal discharge syndrome it results in over-treatment in 42.86% (false positive) and under diagnosis in 35.29% (false negative). This approach was found less effective. For lower pain abdomen syndrome the sensitivity is 21.74% and specificity is 84.62%, PPV 38.46%, NPV 70.97% and accuracy is 65.33%. If treatment is given only on the basis of syndromic approach for lower pain abdomen syndrome results in over -treatment in 15.38% (false positive) and under diagnosed 78.26%.(false negative). This approach was found less effective.

scholarly journals Reproductive Tract Infections in Dairy Cows: Can Probiotics Curb Down the Incidence Rate?

Dairy ◽  
2021 ◽  
Vol 2 (1) ◽  
pp. 40-64
Author(s):  
Eduardo Barahona Rosales ◽  
Burim N. Ametaj
Keyword(s):  
Dairy Cows ◽  
Reproductive Tract ◽  
Negative Impact ◽  
Systemic Circulation ◽  
Contributing Factors ◽  
Reproductive Tract Infections ◽  
Uterine Health ◽  
Lower Fertility ◽  
Tract Infections ◽  
Uterine Diseases

Postpartum uterine diseases are common in dairy cows and are a great concern for the dairy industry as they are associated with various consequences, including lower fertility, lower milk yield, and an overall negative impact on the host health. An infected uterus is a source of bacterial compounds and cytokines that spill into the systemic circulation, spreading inflammation to other organs. In this review article, we discuss a short overview of the anatomy of the reproductive tract of dairy cows and several infectious diseases of the uterus including metritis, endometritis, and pyometra. Additionally, we discuss the microbiome of the reproductive tract in health and during uterine diseases. As well, diagnostic criteria for metritis and endometritis and contributing factors for increased susceptibility to metritis infection are important topics of this review. To better understand how the uterus and reproductive tract respond to bacterial pathogens, a section of this review is dedicated to immunity of the reproductive tract. Both the innate and adaptive immunity systems are also discussed. We conclude the review with a factual discussion about the current treatments of uterine diseases and the new developments in the area of application of probiotics for uterine health. Mechanisms of actions of probiotics are discussed in detail and also some applications to prevent uterine infections in dairy cows are discussed.

scholarly journals Identifying Risk Factors for Lower Reproductive Tract Infections among Women Using Reusable Absorbents in Odisha, India

2021 ◽  
Vol 18 (9) ◽  
pp. 4778
Author(s):  
Padmalaya Das ◽  
Danielle Lisnek ◽  
Krushna Chandra Sahoo ◽  
Shalini Sinha ◽  
JyotiRanjan Mohanty ◽  
...  
Keyword(s):  
Risk Factors ◽  
Reproductive Tract ◽  
Laboratory Diagnosis ◽  
Poverty Line ◽  
Reproductive Age ◽  
Reproductive Tract Infections ◽  
Menstrual Hygiene ◽  
Socio Demographic Factors ◽  
Tract Infections ◽  
Study Laboratory

A large proportion of women in Odisha, India, use reusable absorbents to manage their menstruation. Yet, the risk factors for lower reproductive tract infections (RTIs) related to menstrual hygiene management (MHM) have not been studied among reusable absorbent users. Women of reproductive age attending one of two hospitals from two different cities in Odisha during two separate study intervals were recruited for the study. Laboratory diagnosis of bacterial vaginosis (BV) and vulvovaginal candidiasis (VVC) were conducted. A questionnaire was used to collect information on MHM practices, water, sanitation, and socio-demographic factors. Among the 509 women who used reusable absorbents, 71.7% were diagnosed with at least one infection. After adjusting for confounders, women with BV were more likely to identify as being a housewife (aOR: 1.8 (1.1–2.9)). Frequent absorbent changing was protective against BV (aOR: 0.5 (0.3–0.8)), whereas frequent body washing increased the odds of BV (aOR: 1.5 (1.0–2.2)). Women with VVC were more likely to be older (aOR: 1.6 (1.0–2.5)), live below the poverty line (aOR: 1.5 (1.1–2.2)), have a non-private household latrine (aOR: 2.2 (1.3–4.0)), dry their absorbents inside the house (aOR: 3.7 (2.5–4.5)), and store absorbents in the latrine area (aOR: 2.0 (1.3–2.9)). Washing absorbents outside the house was protective against VVC (aOR: 0.7 (0.4–1.0)). This study highlights the importance of improving MHM practices among reusable absorbent users to prevent lower RTIs among women reusing menstrual materials in Odisha.

scholarly journals Reproductive tract infections in women seeking abortion in Vietnam

2009 ◽  
Vol 9 (1) ◽  
Author(s):  
Nguyn M Hng ◽  
Jørgen Kurtzhals ◽  
Th Thu Thy ◽  
Vibeke Rasch
Keyword(s):  
Reproductive Tract ◽  
Reproductive Tract Infections ◽  
Tract Infections
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