Linear trends over 20 years in sexually transmitted infections among patients attending a tertiary care center in north Kerala, India

Author:

Suresh Archana,Jose Reeshma,Sasidharanpillai Sarita,Chathoth Anuradha Thalian1,Ajithkumar Kidangazhiathmana2

Affiliation:

1. Department of Health Services, Taluk Hospital, Thamarassery, Kozhikode, Kerala, India

2. Department of Dermatology and Venereology, Government Medical College, Thrissur, Kerala, India

Abstract

Background: Worldwide, a declining trend is observed in sexually transmitted infections of bacterial origin which is reflected as a rise in the proportion of viral sexually transmitted infections. Aims: To find out the clinical referral patterns of sexually transmitted infections among patients who attended the sexually transmitted infection clinic attached to Dermatology and Venereology Department of Government Medical College, Kozhikode from 1.1.1998 to 31.12.2017 and to study the linear trends in the pattern of sexually transmitted infections over 20 years. Methods: After clearance from the institutional ethics committee, a retrospective study was conducted among patients who attended the sexually transmitted infection clinic of Government Medical College, Kozhikode from 1.1.1998 to 31.12.2017 and were diagnosed to have sexually transmitted infections. Results: During the 20 year study period 5227 patients, attended the sexually transmitted infection clinic of our institution. Diagnosis of sexually transmitted infection was made in 2470 (47.3%) cases. Predominant sexually transmitted infections were herpes genitalis (964, 39%), condyloma acuminata (921, 37.9%) and syphilis (418, 17.2%). Viral sexually transmitted infections (1885, 76.3%) outnumbered bacterial sexually transmitted infections (575, 23.3%). A declining trend was noted for both bacterial and viral sexually transmitted infections over the 20 year period, which was more marked for the former. But the latter years of the study documented a rising trend in total sexually transmitted infections including bacterial sexually transmitted infections. Limitations: The study does not reflect the status of sexually transmitted infections in the general population since it was conducted in a tertiary referral center. Conclusion: The disturbing ascending trend recorded in sexually transmitted infections including syphilis during the final years of the 20-year period needs to be watched closely, to plan future strategies.

Publisher

Scientific Scholar

Subject

Infectious Diseases,Dermatology

Reference14 articles.

1. Changing trends in sexually transmitted infections at a Regional STD Centre in north India;Ray;Indian J Med Res,2006

2. Pattern of sexually transmitted infections in a tertiary care centre at Puducherry;Devi;Indian J Dermatol,2009

3. A retrospective study of the pattern of sexually transmitted infections from a tertiary care hospital of Rajasthan;Nyati;Indian J Sex Transm Dis AIDS,2017

4. Syphilis resurgence in Dublin, Ireland;Muldoon;Int J STD AIDS,2011

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