Utility of Laboratory Diagnosis for Confirmation of the Syndromic Case Management in Married Indian Women with Vaginal Discharge

Etiological diagnosis of reproductive tract infections by laboratory tests in women presenting with different syndromes

“…On ELISA test, HbsAg was positive in 9 (3%) cases, VDRL positive cases were in 1.7% and HIV positive were 0.67% cases. Aggarwal et al 2 only two women were HIV positive; one showed VDRL reactivity, though the VDRL titre was low (1:4), she was also reactive by TPHA test. On pap smear finding, out of 300 cases, 186 (62%) cases were reported normal, 32.3% cases were inflammatory, 2% bacterial vaginosis, 2.33% candidiasis, 0.67% trichomoniasis and 0.67% were low grade squamous epithelial lesion (LSIL).…”

“…Bohara et al 12 found in their study that thirteen percent had trichomoniasis and 7% had gonorrhoea identified in Gram stained smears and cultures. Aggarwal et al 2 found that out of 234 Gram stained smears, 70 (29.9%,95% CI = 24.4-36.0%) showed presence of >5 pus cells/OIF. On ELISA test, HbsAg was positive in 9 (3%) cases, VDRL positive cases were in 1.7% and HIV positive were 0.67% cases.…”

“…1 They are more common in developing countries like in India. 2 These infections cause suffering and distress for both women and men around the world. 3,4 These account for the second most important cause for morbidity and mortality in women of reproductive age due to the lack of medical facilities available.…”