PREVALENCE OF GONOCOCCAL INFECTION AMONG THE PATIENTS VISITING AT DERMATOLOGY/VENEROLOGY AND GYNAECOLOGY DEPARTMENT OF TRIBHUVAN UNIVERSITY TEACHING HOSPITAL

Abstract

A substantial proportion of women with gonococcal infection are asymptomatic but
symptomatic in male. Thus in developing countries, problem arises in active case
detection where laboratory facilities for testing are limited. During the study, the
diagnostic validity of the hierarchial clinical algorithm as well as that of a non-hierarchial scoring system were assessed among 102 patient visiting at Dermatology/
Venerology (DV) and Gynecology(Gynae) out patient department(OPD) of Tribhuvan
University Teaching Hospital (TUTH), Kathmandu, Nepal. In the study period of 8
months, May –December 1999, 9 (8.82%) were infected with N. gonorrhoea& 2(1.96%)
with Gram Negative intracellular diplococci. Age group of 20-30 years were found to
be more infected followed by age groups 30-40 years & 40-50 years ( P< 0.10). The
male were found to be predominantly infected than female and married were found
to be more infected than unmarried. Among the infected people most of them had
secondary level education and least of them had higher level education. Service holders
were found to be more infected than farmers, drivers & others. But male service
holders & housewives were equally infected.
Antimicrobial susceptibility of N. gonorrhoeashowed 100% susceptible to Ceftriaxone,
followed by Ciprofloxacin (88.88%) whereas 22.22% resistant to Tetracycline, 55.55%
to Cotrimoxazole and 55.55% to Penicillin. Among isolates, 33.33% were ß- lactamase
producer. Co-micro organisms like Candida sppand Staphylococcus sppwere also
observed.

Key Words: Gonococcal infection; Outpatient department, Antimicrobial susceptibility, Nepal.