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Prevalence of RTI/STI agents and HIV infection in symptomatic and asymptomatic women attending peripheral health set-ups in Delhi, India

  • K. RAY (a1), M. BALA (a1), M. BHATTACHARYA (a2), S. MURALIDHAR (a1), M. KUMARI (a1) and S. SALHAN (a3)...

The study was carried out in symptomatic and asymptomatic women attending peripheral health centres to determine the laboratory prevalence of sexually transmitted infection (STI), reproductive tract infection (RTI) and HIV. A total of 4090 women in four study groups were subjected to general and speculum examination and screened for aetiological agents of RTI/STI by standard laboratory techniques. The main complaint was vaginal discharge, singly (11·2%) or along with other symptoms (49·0%). Prevalence of RTI/STI/HIV infection was 36·8%. Agents of RTIs were harboured by 24·3% and that of STIs by 12·5%. HIV seroprevalence was very low (0·1%). HSV-2 represented the commonest aetiological agent of STIs, suggesting the necessity of including anti-HSV treatment in the national syndromic management guidelines. The present study highlights the importance of routine RTI/STI screening of antenatal mothers to avoid adverse consequences to the unborn child, and periodic surveys to detect the infection pattern in symptomatic and asymptomatic women, in order to control HIV infection.

Corresponding author
*Author for correspondence: Professor K. Ray, M.D., 2240, Sector C Pocket 2, Vasant Kunj, New Delhi-100070, India. (Email:
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1. World Health Organisation. A new approach to STD control and AIDS prevention. Gobal AIDS News 1994; 4: 1315.
2. Wasserheit JN, Aral SO. The dynamic topology of sexually transmitted disease epidemics: implications for prevention strategies. Journal of Infectious Diseases 1996; 174 (Suppl. 2): S201213.
3. Ray K, et al. Changing pattern of sexually transmitted diseases at a STD Centre. Indian Journal of Medical Research 2006; 124: 559568.
4. Khanna N. Sexually transmitted diseases in India. Indian Journal of Sexually Transmitted Diseases 2002; 232: 5866.
5. Murgesh SB, Sugareddy , Raghunath S. Pattern of sexually transmitted diseases at Davangere. Indian Journal of Sexually Transmitted Diseases 2004; 25: 912.
6. Chatterjee M, Ramadasan P. Profile of sexually transmitted diseases in and around Jabalpur, MP. Indian Journal of Sexually Transmitted Diseases 2004; 25: 1317.
7. AIDS Prevention and Control Project (APAC). Community prevalence of sexually transmitted diseases in Tamil Nadu 1998 – a report. Voluntary Health Services, Chennai, India: APAC, 1998.
8. Koenig M, et al. Investigating women's gynaecological morbidity in India: not just another KAP survey. Reproductive Health Matters 1998; 6: 8496.
9. Bhatia J, Cleland J. Methodological issue in community-based studies of gynaecological morbidity. Studies in Family Planning 2000; 31: 267273.
10. Garg S, et al. Comparison of self-reported symptoms of gynaecological morbidity with clinical and laboratory diagnosis in a New Delhi slum. Asia-Pacific Population Journal 2001; 16: 7592.
11. Hawkes S, Santhya KG. Diverse realities: sexually transmitted infections and HIV in India Sexually Transmitted Infections 2002; 78 (Suppl. 1): i31i39.
12. Van Dyck E, Meheus AZ, Piot P. Laboratory Diagnosis of Sexually Transmitted Diseases. Geneva: World Health Organisation, 1999.
13. WHO. Global prevalence and incidence of selected curable sexually transmitted infections: overviews and estimates. WHO/HIV_AIDS/2001–02. Geneva: World Health Organisation, 2001.
14. Johnson LF, Coetzee DJ, Dorrington RE. Sentinel surveillance of sexually transmitted infections in South Africa: a review. Sexually Transmitted Infection 2005; 81: 287293.
15. Nessa K, et al. Sexually transmitted infections among brothel – based sex workers in Bangladesh: high prevalence of asymptomatic infection. Sexually Transmitted Diseases 2005; 32: 1319.
16. Agarwal S, Sharma V, Sarin R. Reproductive tract infections in women – prevalence, HIV seropositivity and role of conventional methods in diagnosis. Indian Journal of Sexually Transmitted Diseases 2005; 26: 7277.
17. Joshi J, et al. Reproductive tract infections among women attending family welfare clinic. Indian Journal of Sexually Transmitted Diseases 1996; 17: 6670.
18. Tankhivale NS, Pathak AA, Mundhda S. Study of vaginal infections caused by Gardnerella vaginalis. Indian Journal of Sexually Transmitted Diseases 2000; 221: 2529.
19. Schmid G, et al. Bacterial vaginosis and HIV infection. Sexually Transmitted Infection 2000; 76: 34.
20. O'Farrell N. Increasing prevalence of genital herpes in developing countries implications for heterosexual HIV transmission and STI control programmes. Sexually Transmitted Infection 1999; 75: 377384.
21. Mar Pujades RM, et al. Herpes simplex virus type2 infection increases HIV incidence: a prospective study in rural Tanzania. Acquired Immuno Deficiency Syndrome 2002; 16: 451462.
22. Reynolds SJ, et al. Recent herpes simplex virus type 2 infection and the risk of human immunodeficiency virus type 1 acquisition in India. Journal of Infectious Diseases 2003; 187: 15132125.
23. Panchanadeswaran S, et al. Gender differences in the prevalence of sexually transmitted infections and genital symptoms in an urban setting in southern India. Sexually Transmitted Infection 2006; 82: 491495.
24. Mullick S, et al. Sexually transmitted infections in pregnancy: prevalence, impact on pregnancy outcomes and approach to treatment in developing countries. Sexually Transmitted Infection 2005; 81: 284302.
25. Desai VK, et al. Prevalence of sexually transmitted infections and performance of STI syndromes against aetiological diagnosis in female sex workers of red light area in Surat, India. Sexually Transmitted Infection 2003; 79: 111115.
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Epidemiology & Infection
  • ISSN: 0950-2688
  • EISSN: 1469-4409
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