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Singh, Amit Kumar
- Prevalence of Syphilis at a Tertiary Care Setup of Northern India: a Hospital Based Study
Authors
1 Postgraduate Department of Microbiology, King George's Medical University, Lucknow, Uttar Pradesh, IN
Source
Indian Journal of Public Health Research & Development, Vol 4, No 1 (2013), Pagination: 153-157Abstract
Introduction: Prevalence of sexually transmitted infections (STIs) shows regional variations. Though a rising trend of prevalence of viral STIs is observed, syphilis still continues to be a commonly diagnosed infection.
Aim: To find out the current status of syphilis at a tertiary care hospital.
Materials and Methods: A total 2,543 serum samples were received from out-patients department (OPD) during one year period from January 2011 to December 2011. All serum samples were subjected to Venereal Diseases Research Laboratory (VDRL) testing. Treponema Pallidum Hemagglutination Assay (TPHA) was performed on VDRL reactive samples.
Observations: Out of 2,543 serum samples screened for syphilis by the VDRL test, 472 (18.5%) samples were found reactive, out of these 78(3.06%) were TPHA positive. Among males the samples from patients of 0-20 years, 20-40 years and above 40 years were 54 (4.3%), 1028 (82.4%) and 165 (13.2%) respectively, whereas among females for the same age groups the distribution was 73 (5.6%), 1185 (91.4%) and 38 (2.9%) respectively. Dilution titres of VDRL reactive samples varies from 1:2(360), 1:4(102), 1:8(8), and 1:16(1) and 1:32(1). Among 472 VDRL reactive samples 78(16.5%) were TPHA positive.
Conclusion: Over a period of one year 18.5% serum samples were found VDRL reactive and 3.06% were TPHA positive. Prevalence of active syphilis in age group 20 to 40 was higher.
Keywords
Syphilis, Prevalence, Treponema Pallidum Hemagglutination Assay, VDRLReferences
- Evans HE, Frenkel LD.Congenital syphilis.Clin Perinatol 1994; 21:149-162.
- RayJG.Lues–Lues:Maternal and Fetal Consideration of Syphilis.Obstetrical & Gynecological Survey 1995;50:845-850.
- Jain A, Mendiratta V, Chander R. Current status of acquired syphilis: A hospital-based 5 year study.Indian J Sex Transm Dis [serial online] 2012 [cited 2012May12];33:32.
- Jain VK, Dayal S, Aggarwal K, Jain S, Changing trends of sexually transmitted diseases at Rohtak. India J.Sex Trans Dis 2008;29:23-25.
- Ray K, Bala M, Gupta SM, Khunger N, Puri P, Muralidhar S, et al. Changing trends in sexually transmitted disease in a regional STD centre in north India. Indian J Med Res 2006;124:559-68.
- Schumacher CM, Ellen J, Rompalo AM. Changes in demographics and risk behaviors of person with early syphilis depending on epidemic phase. Sex Transm Dis 2008;35:190-6.
- Stewart M. Brooks. The V.D Story, London, England 1971.
- Chakraborty R, Luck S. Syphilis is on the increase: the implications for child health. Arch Dis Child 2008;93:105-9.
- Walker DG, Walker GJ. Prevention of congenital syphilis—time for action. Bull World Health Organ 2004;82:401.
- World Health Organization (homepage on the internet).Trends in sexually transmitted infections and HIV in the European region, 1980-2005. Technical briefing document 01B/0Copenhagen; 12September,2006.Availablefrom:http:// www.euro.who.int/Document/RC56/etb 01b.pdf.
- Rajendran P, Thyagarajan SP, Pramod NP, et al. Serodiagnosis of syphilis in a community: An evaluator study. Indian J Med Miicrobiol 2003;21:179-83.
- Pope V, Norris SJ, Johnson RE. Treponema and other human host-associated spirochaetes. In: Murray PR, Baron EJ, Landry ML, Jorgenson JH, Pfaller MA, eds Manual of Clinical Microbiology, 9th ed. Washington DC: ASM Press, 2007: 987-1003
- Lukehart SA. Syphilis. In: Fauci AS, Braunwald E, Kasper DL, et al eds. Harrison’s Principle of Internal Medicine, 17th ed. New York: McGraw Hill, 2008: 1038-45.
- Young H. Syphilis serology. Dermatol Clin 1998; 16: 691-8.
- Harries A. Rosenberg, A.A.; Riedel, L.M.; A microflocculation test for syphilis using cardiolipin antigen. Preliminary Report J. Ven. Dis. Inform; 27, 169-174 July 1946.
- Harries A. Rosenberg, A.A.; Del Vecehio, E. R,; the VDRL slide flocculation test for syphilis, II. A supplementary report. J. Ven. Dis. Inform; 29, 72- 75 March 1948.
- Young H. Treponema: serological test for syphilis. In: Collee, JG, Duguid JP, Fraser Ag, Marimion BP, eds. Mackie and McCartney Practical Medical Microbiology, 13th ed. London Churchill Liningstone, 1989: 650-60.
- Sami S, Baloch SN. Vaginitis and sexually transmitted infections in a hospital based study.J. Pak Med Assoc 2005; 55: 242-4.
- Sultan F, Mehmood T,Mahmood MT.Infectious pathogens in volunteer and replacement blood donors in Pakistan: a ten-year experience. Int J Infect Dis 2007; 11: 407-12.
- Baqi S, Shah SA, Baig MA, Mujeeb SA, Memon A. Seroprevalence of HIV,HBV and Syphilis and associated risk behaviours in male transvestites (Hijras) in Karachi, Pakistan. Int J STD AIDS 1990; 10: 300-4.
- A Study of Quality of Care and Customer Satisfaction in the Obstetrics and Gynaecology Department of the Government Medical College Hospital - Garhwal (uttarakhand)
Authors
1 Dept of Community Medicine, VCSG Govt Medical Science & Research Institute, Srikot, Srinagar (Pauri), Uttarakhand, IN
2 Dept of Obst. & Gynae, VCSG Govt Medical Science & Research Institute, Srikot, Srinagar (Pauri), Uttarakhand, IN
Source
Indian Journal of Public Health Research & Development, Vol 4, No 3 (2013), Pagination: 15-18Abstract
Background: Health services in India is mainly shared by the Public health sector, Private health sector and by some voluntary organizations, Public health services mainly serve the middle class and lower middle class population in India. Lack of funds and human resource is a major factor contributing to compromised services rendered in this sector.
Objectives: The present study was planned to assess the quality of care provided and the patient's satisfaction level in the obstetrics and Gynaecology department of the Government Medical College hospital of Garhwal, Uttarakhand.
Material & Method: The study was conducted as a hospital based cross sectional study. A predesigned structured questionnaire was devised and 5 newly admitted patients were interviewed daily between 5-7 pm for a period of two months. The infrastructure and other facilities were assessed by direct physical observation.
Result: In the present study it was observed that the department is mainly suffering with lack of manpower and supply of essential drugs. Patients expect better services from the hospital as well as they conclude that the behaviour of the doctors and the paramedical staffs needs further improvement.
Conclusion: The department needs better infrastructure, human resource facilities and there is a need to improve the quality of care as well as patient satisfaction.
Keywords
Quality, Satisfaction, Cost, Infrastructure, Cleanliness, BehaviourReferences
- National Health Policy 2002
- Repert MI, Babakus E. Linking quality and performance. Quality orientation can be a competitive strategy for health care providers. J Health Care Mark, 1996;16:39-43.
- Gombeski WR, Jr Miller PJ, Hann JH, Gillete CM, Belinson JL, Bravo LN, Curry PS. Patient call back program: a quality improvement, customer service and marketing tool. J Health Care Mark, 1993; 13:60-65.
- Andaleeb SS. Determinants of customer satisfaction with hospitals: A managerial model. International Journal of Health Care Quality Assurance 1998. 11:181-187.