Managing recurrent bacterial vaginosis

CLINICAL KNOTS Managing recurrent bacterial vaginosis

Bacterial vaginosis (BV) is the most frequently found condition of the female genital tract. It increases a woman’s risk of acquiring HIV, is associated with increased complications in pregnancy, and may be involved in the pathogenesis of pelvic inflammatory disease. Yet there are many unanswered questions about its aetiology, making management of recurrent infection difficult and often idiosyn...

Antibiotic resistance of Gardnerella vaginalis in recurrent bacterial vaginosis.

Fifty strains of Gardnerella vaginalis isolated from 321 high vaginal swabs over a period of five months were tested for their antibiotic sensitivity. Sixty eight per cent of all isolates were resistant to metronidazole while 76% were sensitive to clindamycin. All the strains isolated from cases with recurrence of infection were resistant to metronidazole. Clindamycin therapy has a better clini...

Bacterial Vaginosis and Trichomoniasis: Epidemiology and Management of Recurrent Disease

Effective therapies exist for the treatment of both vaginal trichomoniasis and bacterial vaginosis (BV). Recurrent trichomonas infection is uncommon, and significant metronidazole resistance remains rare. The management of metronidazole-resistant trichomoniasis is dependent on susceptibility studies, which can be used to guide higher doses of metronidazole therapy. Recurrent BV is common. A mec...

[Bacterial vaginosis].

Bacterial Vaginosis

Bacterial vaginosis (BV) is a common vaginal disorder in woman in child bearing age associated with adverse outcomes including preterm birth and acquisition of sexually transmitted diseases and pelvic inflammatory disease. This condition is highly unfavorable and causes severe complications related to reproductive system of women. According to literature reports, it has affected 10%-20% of Cauc...