13. A Clinico-Epidemiological Study of Sexually Transmitted Infections in Males at a Tertiary Care Centre

Shyamkumar Makadia, Shruti Kulkarni, Yash dhamecha

ABSTRACT

Background: Sexually Transmitted Infections (STI) are more dynamic than other infections prevailing, particularly in this HIV era. This epidemiological profile varies even from one region to another within a country, depending upon the ethnographic, demographic, socioeconomic and health factors. In our society males are common visitors to STI clinic than females. Material & Methods: A retrospective study of four years of males attending the STI clinic at a tertiary care centre was conducted. Detailed history, thorough clinical examination, HIV and RPR testing was done in all the cases. Results: Of all the patients presenting to the Skin OPD, 924 males were diagnosed to have STI. Most common age group was 25-44 years (64.56%) and majority of them were married (68.98%) involving in occupation of agricultural-works (35.40%). Among the ulcerative group, herpes genitalis was the most common STD (56.71%) followed by syphilis (2.38%), GI (0.54%), LGV (0.33%) and chancroid (0.22%). Genital-warts (19.37%) and molluscum contagiosum (13.20%) comprised non-ulcerative group. In urethritis group, gonococcal and non-gonococcal urethritis was reported in 3.68% and 3.57% cases respectively. Partner management was done in (58.02%) cases. Conclusion: Low education, ignorance about STIs including HIV, poor usage of barrier contraception and early age of sexual debut are collectively responsible for increased incidence of STIs. HIV and STI are perfect examples of epidemiological synergy as they facilitate each other's transmission.

Key-words: Sexually Transmitted Infections, Herpes Genitalis, HIV, Genital ulcer.

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