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PubHealth.info® (a subsidiary of PakMed) presents scientific information mainly based on abstracts of articles published on a variety of public health issues/topics, particularly encompassing population planning, disease prevention, maternal and child health, and communicable and non-communicable diseases (like HIV AIDS, malaria, etc) that are affecting a significant portion of population in developing and developed countries. Here you can find abstracts of articles published on a variety of public health topics under category "Contraception (Birth Control) and Family Planning". Contraception (birth control) is a regimen of one or more actions, devices, or medications followed in order to deliberately prevent or reduce the likelihood of a woman becoming pregnant or giving birth. Therefore contraception is the utilization of various and sundry surgical procedures, devices, practices, agents, or drugs with the intention of preventing conception or impregnation (pregnancy). Methods and intentions typically termed birth control may be considered a pivotal ingredient to family planning. Birth control is a controversial political and ethical issue in many cultures and religions, and although it is generally less controversial than abortion specifically.

YEAR:

2005

CATEGORY:

Contraception (Birth Control) and Family Planning

TITLE

A comparative study of clinical management strategies for vaginal discharge

in family planning and genitourinary medicine settings.

AUTHORS

Melville C; Nandwani R; Bigrigg A; McMahon AD

SOURCE

Journal of Family Planning and Reproductive Health Care. 2005;31(1):26-30.

ABSTRACT

The objective was to compare strategies for management of women with vaginal discharge in genitourinary medicine

(GUM) and family planning (FP) settings. The setting was a centre housing both FP and GUM departments within a

primary care trust in Scotland. The study participants were 200 women presenting with vaginal discharge. A

randomised, controlled, crossover design was employed. Strategies typical of FP and GUM were performed on every

participant in a randomised sequence. Day 1 diagnoses were made by the FP strategy (history and examination) and

the GUM strategy (nearpatient microscopy added). Day 7 results were obtained from final analysis of all specimens.

Days 1 and 7 results were compared with the reference standard provided by all the test results. The main outcome

measures were incorrect diagnoses on Days 1 and 7. On Day 1 the FP strategy resulted in significantly more

incorrect diagnoses than the GUM strategy when compared with the reference standard (73 vs 32; p<0.001). On Day 7

the GUM strategy resulted in significantly more incorrect diagnoses than the FP strategy when compared with the

reference standard (32 vs 17; p = 0.019). Vaginal discharge can be managed effectively in community settings such

as FP and primary care. The addition of near-patient microscopy produces a more accurate immediate diagnosis.

The addition of a high vaginal swab for culture produces a more accurate final diagnosis. The costs of on-site

microscopy must be considered. (PubHealth.info Document ID: CONT1T 86-06)

PubHealth.info NOTE: The author(s) of this article titled, "A comparative study of clinical management strategies for

vaginal discharge in family planning and genitourinary medicine settings.", is(are) Melville C; Nandwani R; Bigrigg

A; McMahon AD. The source of this article is "Journal of Family Planning and Reproductive Health Care.

2005;31(1):26-30.". This article was published in 2005 in English language(s). (PubHealth.info® Document ID:

CONT1T 86-06. All rights reserved with PubHealth.info) PIN: 86

This article is peer-reviewed.

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