Bacterial vaginosis: Difference between revisions

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{{BV Metronidazole Adult}}
{{BV Metronidazole Adult}}


===Prophylaxis ([[Sexual Assault]])===
{{BV Clindamycin Adult}}
{{BV Metronidazole Prophylaxis Weight Based}}


==[[Clindamycin]]==
{{BV Clindamycin Adult}}


==See Also==
==See Also==

Revision as of 16:41, 19 April 2015

Background

  • Accounts for up to 50% of cases of vaginitis
  • Associated w/ preterm labor and premature rupture of membranes
  • Treat all symptomatic women (including pregnant)
  • Do not treat asymptomatic women (including pregnant)

Diagnosis

  • whitish-gray discharge and odor
    • Lack of discharge makes diagnosis less likely
  • Wet mount shows clue cells: bacteria that line the borders of the vaginal epithelial cells
  • Whiff Test: fishy odor with 10% KOH added

Differential Diagnosis

Vulvovaginitis

Treatment

  • Do NOT need to treat sexual partner
  • 2 Options: Metronidazole or Clindamycin

Antibiotics

<45kg

  • 15 mg/kg/day PO divided q8h x 7 days
  • First Dose: 7 mg/kg PO x 1

>45kg

  • 2 g PO x 1

Pregnancy

  • Alternative: 250mg PO q8h x 7 days in pregnant patients[1]
  • 2g PO x 1 is also acceptable in pregnancy[1]
  • Multiple studies have not demonstrated teratogenicity from metronidazole use[1]

Prophylaxis (Sexual Assault)


See Also

Source

  1. 1.0 1.1 1.2 CDC Pregnancy BV Treatment Guidelines.cdc.gov