Suraksha clinic

A Brief Introduction about Suraksha Clinic(STD/RTI Speciality).

1. BACKGROUND As per WHO estimate around 10% of all adults are infected with curable STI(sexually transmitted infection) each year. In cases where there is possibility of contracting STIs; the possibility of contracting HIV is also very high. Around 86% of all cases of HIV are transmitted via the Sexual route. NACO data indicates that awareness about RTI/STI in men is 53% and in women it’s 44%. Around 6% of adult population has STI episodes each year which amounts to 30million each year.(ICMR study,2002).

2. INTRODUCTION It was started in the year 1992 and has it’s headquarters in Delhi. Its parent body is National Aids Control Organization which is in turn run by the Ministry Of Health and Family Welfare. Its main purpose is ‘’To provide better health care service and for prevention of HIV/AIDS” Initially it was started in71 district hospitals, 10 medical colleges and 5 district female hospitals.

3. SERVICES Controlling pandemics of STIs like HIV, Herpes, Gonorrhea, Syphilis etc Blood sample collection and reporting is done. Ideally blood samples are to be taken at empty stomach in half day. Before collection of sample proper counseling is given. Details of the patient Viz , Age, Sex, Occupation, Educational Qualifications, Reason of doubt etc are noted. The details are kept extremely confidential. Post test results arrive the patient is counseled again.

4. COLOR CODED KITS FOR SYNDROMIC TREATMENT OF RTI/STIs

5. URETHRAL DISCHARGE-KIT1(Grey) Pus or mucopurulent Discharge. Painful burning sensation while micturation. Increased frequency of urination Systematic symptoms like fever, malaise Treatment:- Tab Azithromycin(1gm) OD stat + Tab Cefexime 400mg OD stat. All recent partners to be treated

6. Cervical Discharge-KIT 1(Grey) Nature and type of discharge to be ascertained. Burning micturation along with increased frequency. Genital complaints by sexual partners. Low backache. Rule out pregnancy by menstrual history TREATMENT Tab Azithromycin(1gm) OD stat + Tab Cefexime 400mg OD stat. All recent partners to be treated when symptomatic

7. PAINFUL SCROTAL SWELLING(KIT1- Grey) Swelling and pain in the scrotal region. Pain or burning while passing urine. Systemic features like fever and malaise. History of urethral discharge. Treatment:- Tab Azithromycin(1gm) OD stat + Tab Cefexime 400mg OD stat. All recent partners to be treated

8. VAGINAL DISCHARGE-KIT2(GREEN KIT) Nature and type of discharge. Burning micturation along with increased frequency. Genital complaints by sexual partners. Low backache. Rule out pregnancy by menstrual history TREATMENT:- Tab Secnidazole 2gm + Cap. Fluconazole 150mg OD Stat. Treat partners when symptomatic

9. Genital Ulcer Non Herpetic(Kit 3-White and Kit 4-Blue) Genital ulcer. Single or multiple, painful or painless. Burning sensation in the genital area. Enlarged lymph Nodes. KIT3/WHITE:- Benzithine Penicillin(2.4MU)-1Vial + Tab Azithromycin(1gm) Single dose. KIT4/BLUE:- If allergic to penicillin then Doxcycline 100mg BDx15days + Azithromycin 1gm(single dose) Treat all sexual partners for past three months

10. GENITAL ULCER HERPETIC(KIT5/RED) Genital ulcer or vesicles. Single or multiple, painful recurrent. Burning sensation in genital area. KIT5/RED:- Tab Acyclovir 400mg TDS For 7Days No need of treating partners

11. LOWER ABDOMEN PAIN(KIT6/YELLOW) Lower abdomen pain with fever Vaginal discharge Menstrual irregularities like Heavy irregular vaginal bleeding. Dysmenorrhoea, Dyspareunia, Dysuria and Tenesmus. Lower Backache Cervical motion tenderness. Treatment Kit6:- Tab Cefexime 400mg OD stat + Tab Metronidazole BD For 14Days + Doxcycline 100mg BD For 14days. Treat Male partners with KIT-1

12. INGUINAL BUBO(KIT7/BLACK) Swelling in inguinal region which may be painful. Preceding history of Genital ulcer of Discharge. Systemic symptoms of malaise, fever etc. Treatment:- Tab Azithromycin 1gm OD Stat + Tab Doxycycline 100mg BD for 21 days.

13. IMPORTANT CONSIDERATIONS Educate and counsel the patients and sexual partner/s regarding the dangers of Sti/Rti s Stress the importance of safer sex and necessity of completion of treatment for both client and partners. Advice sexual abstinence or condom use during the course of treatment. Condoms to be provided. Educate clients about correct and consistent use.

14. THANKING YOU FOR YOUR KIND ATTENTION