WHITE DISCHARGE PER VAGINA: A CLINICO‚??MICROBIOLOGICAL STUDY IN WOMEN ATTENDING GYNAECOLOGICAL OUTPATIENT DEPARTMENT

Abstract

Anitha N1, Prathibha S. D2

OBJECTIVE
1. To study the clinical patterns in patients attending Gynaecology OPD with White Discharge per vagina (WDPV).
2. To diagnose causative organism using simple microbiological tests.
3. To develop a diagnostic model based on clinical and microbiological findings.
METHODS
Women attending Gynaecological OPD with excessive WDPV were included in the study. A detailed clinical history and elaborate history of vaginal discharge was taken, associated symptoms like itching vulva, burning sensation in vulva, dysuria and other urinary symptoms, dyspareunia was taken. Detailed General Physical Examination, Per Abdominal Examination was done. Careful vulvo-vaginal examination to look for erythema, oedema, soreness, discharge was done. Per speculum examination to visualise the cervix and vaginal wall done. Following simple tests done.
1. pH of vaginal secretion using colour coded pH strips (2-10).
2. Wet mount–Direct microscopy where a loop full of vaginal secretion is mixed with 1-2 drops of normal saline and visualised under high power microscope.
3. KOH preparation where a loop full of vaginal secretion is mixed with 1-2 drops of 10% KOH and a cover slip is applied and visualised under high power microscope.
4. Gram stain where the vaginal secretion is made into a smear, air dried and Gram staining done.
5. Whiff’s test/Amine test where a drops of KOH is added to vaginal secretion on speculum and odour noted.

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