Profile of sexually transmitted infections among attendees of special clinics (Suraksha) at an apex regional sexually transmitted disease centre in North India – a five-year study




Condom usage, Disease control, Epidemiology, HIV, High-risk population, Patient education, Screening, Sexually transmitted infections, Syphilis, Vulnerable population


Introduction: Sexually transmitted infections (STIs) present significant global and national health challenges, particularly in India. Objective: To estimate the prevalence and characteristics of STIs among attendees at the Suraksha Clinic in the Apex Regional STD Centre, Safdarjung Hospital. Methods: Retrospective data from January 2018 to December 2022 were statistically analyzed using Excel and SPSS. The study included the examination for diagnosis of various STIs, such as syphilis, human immunodeficiency virus (HIV), gonorrhoea, chlamydiasis, trichomoniasis, candidiasis, bacterial vaginosis, chancroid, and genital herpes. Gender distribution and syndromic diagnoses, including vaginal/cervical discharge and genital ulcers, were also considered. Referrals to Integrated Counseling and Testing Centres for HIV testing were analyzed.

Results: The outcomes reveal a substantial burden of STIs, with 3.06% showing reactivity to syphilis, 1.74% testing positive for HIV, 3.36% for gonorrhoea, 11.78% for chlamydiasis, 1.05% for trichomoniasis, 26.24% for candidiasis, 9.97% for bacterial vaginosis, 7.80% for chancroid, 11.64% for herpes genitalis, and 4.01% for other non-STIs. Attendees' interactions included 34.36% of referrals to Integrated Counseling and Testing Centres for HIV testing. The gender distribution showed 58.92% male and 40.94% female attendees. Conclusion: Syndromic diagnoses, including vaginal/cervical discharge (21.22%) and genital warts (8.00%), highlight prevalent conditions, necessitating routine screening, early detection, and targeted interventions for effective disease control and prevention. These findings underscore the significance of integrated screening, patient education, and proactive strategies to safeguard public health in the face of rising STI rates.


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Agrawal N, Rana MM, Patel KB, Bapat N. Profile of reproductive tract infections among attendees of reproductive tract infection/sexually transmitted infection clinic in a tertiary care Institute of Ahmedabad, Gujarat. Indian J Community Med. 2019;44(1):62-3.

Choudhry S, Ramachandran VG, Das S, Bhattacharya SN, Mogha NS. Pattern of sexually transmitted infections and performance of syndromic management against etiological diagnosis in patients attending the sexually transmitted infection clinic of a tertiary care hospital. Indian J Sex Transm Dis AIDS. 2010;31(2):104-8.

Parashar A, Gupta BP, Bhardwaj AK, Sarin R. Prevalence of RTIs among women of reproductive age group in Shimla city. Indian J Community Med. 2006;31:15-7.

Balamurugan SS, Bendigeri N. Community-based study of reproductive tract infections among women of the reproductive age group in the urban health training centre area in Hubli, Karnataka. Indian J Community Med. 2012;37(1):34-8.

Passos MR, Arze WN, Mauricio C, Barreto NA, Varella RQ, Cavalcanti SMB, et al. Is there increase of STDs during Carnival? Time series of diagnoses in a STD clinic. Rev Assoc Med Bras (1992). 2010;56(4):420-7.

Garland SM, Tabrizi SN, Chen S, Byambaa C, Davaajav K. Prevalence of sexually transmitted infections (Neisseria gonorrhoeae, Chlamydia trachomatis, Trichomonas vaginalis and human papillomavirus) in female attendees of a sexually transmitted diseases clinic in Ulaanbaatar, Mongolia. Infect Dis Obstet Gynecol. 2001;9(3):143-6.

Murphy PA, Jacobson J, Turok DK. Criterion-based screening for sexually transmitted infection: Sensitivity, specificity, and predictive values of commonly used questions. J Midwifery Womens Health. 2012;57(6):622-8.

Goyal MK, Witt R, Hayes KL, Zaoutis TE, Gerber JS. Clinician adherence to recommendations for screening of adolescents for sexual activity and sexually transmitted infection/human immunodeficiency virus. J Pediatr. 2014;165(2):343-7.

Brook G, McSorley J, Shaw A. Retrospective study of the effect of enhanced systematic sexually transmitted infection screening, facilitated by the use of electronic patient records, in an hiv-infected cohort. HIV Med. 201314(6):347-53.

Bala M, Mullick JB, Muralidhar S, Kumar J, Ramesh V. Gonorrhoea & its co-infection with other ulcerative, non-ulcerative sexually transmitted & HIV infection in a Regional STD Centre. Indian J Med Res. 2011;133(3):346-9. PMID: 21441694.

Sonkar SC, Wasnik K, Kumar A, Sharma V, Mittal P, Mishra PK, et al. Evaluating the utility of syndromic case management for three sexually transmitted infections in women visiting hospitals in Delhi, India. Sci Rep. 2017;7(1):1465.

Kumarasamy N, Balakrishnan P, Venkatesh KK, Srikrishnan AK, Cecelia AJ, Thamburaj E, et al. Prevalence and incidence of sexually transmitted infections among South Indians at increased risk of HIV infection. AIDS Patient Care STDS. 2008;22(8):677-82.

Choi J, Bahl D, Arora M, Xuan Z. Changes in self-reported sexually transmitted infections and symptoms among married couples in India from 2006 to 2016: a repeated cross-sectional multivariate analysis from nationally representative data. BMJ Open. 2021;11(10):e049049.

Brahme RG, Sahay S, Malhotra-Kohli R, Divekar AD, Gangakhedkar RR, Parkhe AP, et al. High-risk behaviour in young men attending sexually transmitted disease clinics in Pune, India. AIDS Care. 2005;17(3):377-85.




How to Cite

Muralidhar S, Gupta P, Lachyan A, Singh S, Rana RS, Khunger N. Profile of sexually transmitted infections among attendees of special clinics (Suraksha) at an apex regional sexually transmitted disease centre in North India – a five-year study. DST [Internet]. 2024 Feb. 15 [cited 2024 Jul. 20];36. Available from:



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