Clinical and demographic trends in a sexually transmitted infection clinic in ahmedabad (2003-2012): An epidemiologic analysis.

Background: Sexually transmitted infections (STIs) constitute a major public health problem for nations worldwide. The emergence of HIV infection has increased the importance of measures aimed at control of STIs. Knowledge of both clinical and demographic changes in STI population may help us better cater our prevention programs to the target population. Aims & Objective: To assess the changing demographic and clinical trends of STIs in a tertiary centre in Ahmedabad over a 10-year period. Material and Methods: A retrospective study of 3606 patients attending a STI clinic in a tertiary hospital in Ahmedabad over a period of ten years (2003-2012). Results: The clinic evaluated 239 patients in 2003, which has increased to 592 in 2012. Women were major attendees. While in 2003, the majority of STIs were viral infections (35%), fungal infections are the most common STIs currently (54%). The most common clinical presentation in 2003 was an ulcer (60%) but with the rise of fungal infections, vaginal/cervical discharge has become the most common presentation. HIV seropositivity over the 10-year period was 6.5%., with herpes genitalis being the single most commonly associated STI. Conclusion: Though fungal STIs form the largest group of STls in Ahmedabad, the plite of viral infections could not be underestimated. Viral infections are not only difficult to treat and have higher chances of recurrence but also associated with high prevalence of HIV. Thus, STI patients continue to be an important risk group for HIV prevention in Ahmedabad, India.