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  • Title: A clinico-epidemiological study of donovanosis.
    Author: Garg BR, Baruah MC, Oudeacoumar P, Kumar V.
    Journal: Indian J Sex Transm Dis; 1989; 10(2):62-4. PubMed ID: 12284234.
    Abstract:
    Researchers conducted a retrospective study of confirmed cases of donovanosis, a sexually transmitted disease (STD), between January 1980- December 1987 at the STD clinic at the Jawaharlal Institute of Postgraduate Medical Education and Research in Pondicherry, India to determine if a change in the disease's trend occurred. 6.6% of all STD cases at the clinic had donovanosis, especially among 20-30 year olds. This compared to 5.4% in 1968-1969. Incidence did fall, however, to 3.6% in 1987. Incidence among males gradually increased from 1980-1982 then gradually fell. This decline was proportional to the total number of STD patients. All but 1 female reported not having sex outside of marriage. A low of 25% of both husbands and wives of married pairs had donovanosis. The most frequent clinical type of donovanosis was fleshy exuberant then either necrotic or sclerotic types. It affected mainly the genitalia, Syphilis was the most likely associated STD in both sexes. Even though there was a gradual decline in donovanosis, it still made up a major share of all STDs despite the availability of effective treatment (co-trimoxazole, chloromycetin, doxycycline, and tetracycline). In this same time period, a 7.2% and 1.7% increase in other STDs among female and male teenagers respectively occurred, yet, except for 1 case, there were no cases of donovanosis among teenagers. A possible explanation for the inability of this clinic to control donovanosis could be poor contact tracing.
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