title: Utility of microbiological profile of symptomatic vaginal discharge in rural women of reproductive age group.
abstract: BACKGROUND
  Symptomatic vaginal discharge is the most frequent symptom in women of reproductive age group. Owing to social stigma majority of affected women hesitate to seek medical consultation. Therefore the actual incidence of vaginal discharge is much more than what is reported. The aim of the study is to determine the microbiological profile of symptomatic vaginal discharge in rural area and its utility in the management of genital tract infection.
  
  
  METHODS
  This was a descriptive type of observational study, conducted in sexually active women of reproductive age group (18-45 years) attending the OPD/IPD of Obstetrics and Gynaecology Department of National Institute of Medical Sciences, Shobhanagar, Jaipur (Rajasthan), over a period of 18 months from June 2012 to December 2013. Hundred sexually active non pregnant women of reproductive age group (18-45 years) were included in the study. After taking consent general physical examination along with pelvic examination was performed. Two high vaginal swabs and blood sample were collected for various tests. Hanging drop preparation was immediately made. This was followed by gram staining and culture. Chlamydia trachomatis IgM antibody was detected by ELISA method.
  
  
  RESULTS
  Out of 100 women with symptomatic vaginal discharge, specific diagnosis was obtained in 89% of cases whereas no specific aetiology was found in 11% cases. Mean age was 32.60 years. Fifty-three percent patient had Bacterial vaginosis, candidiasis was found in 14% cases, 16% had Chlamydia trachomatis infection while Trichomonas vaginalis infection was detected in 6% cases. Homogenous discharge was most prevalent (52%), followed by mucopurulant discharge in 23% of women.
  
  
  CONCLUSIONS
  Patient with symptomatic vaginal discharge need to be actively managed with appropriate antimicrobial agents. Judicious management may be helpful in prevention of HIV, HPV, CIN and post infection sequelae.
authors.affiliation: Associate Professor, Department of Obstetrics and Gynaecology, National Institute of Medical Sciences , Shobhanagar Jaipur (Rajasthan), India .
authors.forename: Deepa Lokwani
authors.initials: DL
authors.lastname: Masand
authors.affiliation: Student, Department of Obstetrics and Gynaecology, National Institute of Medical Sciences , Shobhanagar Jaipur (Rajasthan), India .
authors.forename: Jaya
authors.initials: J
authors.lastname: Patel
authors.affiliation: Student, Department of Obstetrics and Gynaecology, National Institute of Medical Sciences , Shobhanagar Jaipur (Rajasthan), India .
authors.forename: Sweta
authors.initials: S
authors.lastname: Gupta
keywords: Bacterial vaginosis; Chlamydia trachomatis infection; Trichomoniasis; Vulvovaginal candidiasis