Bacterial vaginosis: Difference between revisions
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==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{Vulvovaginitis DDX}} | |||
==Treatment== | ==Treatment== | ||
Revision as of 00:04, 8 March 2014
Background
- Accounts for up to 50% of cases
- Associated w/ preterm labor and premature rupture of membranes
- Treat all symptomatic women (including pregnant)
- Do not treat asymptomatic women (including pregnant)
Diagnosis
- Whitish-discharge and odor
- Lack of discharge makes diagnosis less likely
- Wet mount shows clue cells
Differential Diagnosis
Vulvovaginitis
- Bacterial vaginosis
- Candida vaginitis
- Trichomonas vaginalis
- Contact vulvovaginitis
- Bubble baths and soaps
- Deodorants, powders, and douches
- Clothing
- Atrophic vaginitis due to lack of estrogen (AKA Vulvovaginal atrophy)
- Lichen sclerosus
- Tinea cruris
- Chlamydia/Gonorrhea infection
- Pinworms
- Vaginal foreign body
- Toilet paper
- Other
- Genitourinary syndrome of menopause
- Foreign body
- Allergic reaction
- Normal physiologic discharge
Treatment
- Do NOT need to treat sexual partner
- Metronidazole 500mg PO BID x7d
- Single dose tx not as efficacious; not recommended by CDC
- Clindamycin 300mg PO BID x7d
- Metronidazole 250mg PO TID x7d - pregnancy treatment
See Also
Source
Tintinalli