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Changing trends in sexually transmitted diseases during a seven year period- A retrospective study in STD clinic of a tertiary care hospital

Introduction: Sexually Transmitted Diseases (STD) shows various trends in different parts of the country and constitute a major public health problem for both developing and developed countries. STD‘s increases the risk of transmission of Human Immuno Deﬁciency virus (HIV) infection causing immense need to understand the patterns of STD‘s prevailing in the regions of a country for proper planning and implementation of STD control strategies. Aim: To know the pattern of STDs and to analyze the changes during a 7 year period among patients attending the STD clinic at the tertiary care centre. Materials and Methods: A retrospective analysis of data collected from the clinical records of patients attending the STD clinic of a tertiary care hospital, Mysuru over a period of 7 years (from Jan 2010 to Dec 2016). Results: During this 7 years period, a total of 1,98,991 patients attended Skin and STD Department on out-patient basis, among them 2,111(1.06%) were STD patients [1057 males and 1054 females]. Majority were married (89.86%). The most common STD in males was balanoposthitis (32.92%) and in females was vaginal /cervical discharge (28.42%). Among genital ulcer diseases herpes genitalis was most common and increased gradually while Syphillis and Chancroid declined during the study period. Gonococcal urethritis was seen among 4.69% and LGV only in 0.14% (3 cases). HIV seropositivity in the study population was 7.25%. Conclusion: Bacterial STD‘s showed a gradual reduction in number while fungal and viral STD‘s showed increasing trends.