Venugopal Swetha, Gopalan Kannan, Devi Asha, Kavitha A
Department of Skin and STD, Vinayaka Mission's Kirupananda Variyar Medical College and Hospitals, Salem, Tamil Nadu, India.
Department of Obstetrics and Gynaecology, Vinayaka Mission's Kirupananda Variyar Medical College and Hospitals, Salem, Tamil Nadu, India.
Indian J Sex Transm Dis AIDS. 2017 Jan-Jun;38(1):69-75. doi: 10.4103/0253-7184.203433.
Abnormal vaginal discharge is a common clinical problem in reproductive age group. It is the second most common problem after abnormal uterine bleeding. It is a neglected health problem, most commonly caused due to vulvovaginal candidiasis, trichomoniasis, and bacterial vaginosis (BV).
The present study was conducted to determine the prevalence of common organisms causing vaginal discharge and also to know the variety of clinical presentation.
A cross-sectional descriptive study was conducted in the Skin and STD Outpatient Department of Vinayaka Mission Kirupananda Variyar Medical College Hospital, Salem, who presented with abnormal vaginal discharge between September 2012 and September 2014. A total of 100 women in the reproductive age group who had symptoms of vaginitis were examined. Data were coded and analyzed.
Out of the 100 patients examined, 77 (77%) cases were organism positive. Among the positive cases, BV (27%) was the most common microbiological cause of abnormal vaginal discharge, followed by trichomoniasis (25%), vaginal candidiasis (22%), combined infection ( and BV) (3%), and nonspecific cases (23%).
Out of 100 cases, few cases showed discordance between clinical and laboratory diagnosis. This discordance can be due to pitfalls in identifying the causative agent clinically or obscuring of the findings due to improper treatment received for other ailments. Thus, clinico-investigative correlation is more important than other clinical findings alone.
异常阴道分泌物是育龄期女性常见的临床问题。它是仅次于子宫异常出血的第二大常见问题。这是一个被忽视的健康问题，最常见的病因是外阴阴道假丝酵母菌病、滴虫病和细菌性阴道病（BV）。
本研究旨在确定引起阴道分泌物异常的常见病原体的患病率，并了解临床表现的多样性。
在塞勒姆市维奈亚卡使命基鲁帕南达·瓦里雅医学院医院皮肤与性传播疾病门诊进行了一项横断面描述性研究，研究对象为2012年9月至2014年9月期间出现异常阴道分泌物的患者。对100名有阴道炎症状的育龄期女性进行了检查。对数据进行编码和分析。
在100例接受检查的患者中，77例（77%）病原体检测呈阳性。在阳性病例中，BV（27%）是异常阴道分泌物最常见的微生物学病因，其次是滴虫病（25%）、阴道假丝酵母菌病（22%）、混合感染（和BV）（3%）以及非特异性病例（23%）。
在100例病例中，少数病例的临床诊断与实验室诊断不一致。这种不一致可能是由于临床识别病原体存在缺陷，或者由于接受了针对其他疾病的不当治疗而掩盖了检查结果。因此，临床与检查结果的相关性比单纯的其他临床发现更为重要。
