Chlamydia in reproductive tract infections: scenario in kolar region

Authors:Venigalla Sunita , Rajini , Prasad S R
Int J Biol Med Res. 2012; 3(1): 1303-1306  |  PDF File

Abstract

Abstract: Abnormal white discharge is a frequent symptom of women presenting to gynaecological OPD but signs and symptoms are not specific, hence require laboratory testing. Chlamydial reproductive tract infections lead to devastating consequences without much clincal signs and symptoms. Hence detection of chlamydia in high risk symptomatic and asymptomatic women and early treatment would result in cost savings in terms of hospitalisation and treatment of resultant morbidity. Objectives: 1.To find the frequency of Chlamydial infections in women presenting to gynaecological OPD. 2.Microbiological analysis of abnormal vaginal discharge. Methods: This is an observations cohort study\ carried out in RLJalappa Hospital attached to Sri DevrajUrsMedicalCollege, Kolar from March 2009 to July 2010. One hundred women with abnormal vaginal discharge, infertility, ectopic pregnancy, PID were included in the study. Swabs from Endo- cervix and surface of cervix were taken for studying Chlamydia by rapid card antigen (Quickstripe antigen detection) detection method, grams stain and culture on blood and Mc Konkey agar. Papanicoulou smears were also taken to study type of smear and organisms like trichomonas. The resultant growth was analysed . Results: No specific infection was seen in 56 women. 2 women had chlamydial infection, 2 had trichomonas and 13 were diagnosed with bacterial vaginosis. 9 women had candidial infections and 14 had specific infections like klebshiella etc. Rest had mixed infections. Conclusion: Chlamydia is an infrequent pathogen in causing abnormal vaginal discharge and does not warrant routine laboratory testing. Bacterial vaginosis is the most common cause of abnormal vaginal discharge.