OUTCOME OF SYNDROMIC MANAGEMENT IN CASES OF CHRONIC VAGINAL DISCHARGE

Abstract

Objective:

Material and Methods

st th

Results:

Conclusion:

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In settings, where bedside tests like microscopy, Potassium Hydroxide, wet mount films and

tests for Chlamydia and gonorrhea are not available, syndromic management is a reasonable way of

treating cases of chronic vaginal discharge

The mean age of the patients was 32+8.08 years. Vaginal infection improved in 56% of the cases

with a single course of antibiotic, in 84% with a second course, 12 patients were lost to follow up and 5

patients who did not improve with two courses of antibiotics had big cervical erosions, were subjected to

Cryo therapy.

Gynaecology, Hayatabad Medical Complex, Peshawar from 1 January 2007 to 30 June 2007. Patients

aged from 16 to 50 years with chronic vaginal discharge of more than 6 months duration were included in

the study. Pregnant patients and those with the history of Cervical Intraepithelial Neoplasia (CIN),

Carcinoma of the Cervix, Ovary or Endometrium were excluded from the study. A detailed history and

examination was done and a Proforma was filled. All these patients were treated with the syndromic

management as recommended by the World Health Organization (WHO) in which no laboratory tests are

done and patients are treated empirically with the antibiotics as per criteria of WHO.

: This descriptive study was conducted in outpatient department of Obstetrics and

To see the outcome of syndromic management in 100 patients of chronic vaginal discharge.