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COMMON STD’S SEEN IN GENERAL PRACTICE

O P Kapoor
Ex. Hon. Visiting Physician, Jaslok Hospital and Bombay Hospital, Mumbai,
Ex. Hon. Prof. of Medicine, Grant Medical College and JJ Hospital, Mumbai 400 008.


When I was a medical student I was taught that the common STD’s seen in practice are gonorrhoea, syphilis and non-gonococcal urethritis. In olden days the HIV virus was not present. Nowadays in addition to HIV, the following three STD’s are the most common :

1. Chlamydia infection which can now be treated by a single dose of 1000 mg tablet of azithromycin.

2. Trichomonas infection easily can be treated with a week’s course of metronidazole.

3. Herpes simplex for which though one can use acyclovir, ribavirin could be given for one week to eradicate the infection.

In short, gone are the days when gonorrhoea and syphilis were the dominant STDs. It is unfortunate, that the diagnosis of the modern STD is made by finding IgM antibodies in the blood, a costly test which many of the laboratories are not doing.



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