Template:BV Antibiotics: Difference between revisions
Neil.m.young (talk | contribs) (updated treatment per CDC) |
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*[[Clindamycin]] cream 2%, one full applicator (5 g) intravaginally qHS for 7 days | *[[Clindamycin]] cream 2%, one full applicator (5 g) intravaginally qHS for 7 days | ||
====Alternative | ====Alternative Regimin==== | ||
*[[Tinidazole]] 2 g PO qd for 2 days OR | *[[Tinidazole]] 2 g PO qd for 2 days OR | ||
*[[Tinidazole]] 1 g PO qd for 5 days OR | *[[Tinidazole]] 1 g PO qd for 5 days OR | ||
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*[[Clindamycin]] ovules 100 mg intravaginally qHS for 3 days (do not use if patient has used latex condom in last 72 hrs) | *[[Clindamycin]] ovules 100 mg intravaginally qHS for 3 days (do not use if patient has used latex condom in last 72 hrs) | ||
==== | ====Pregnant==== | ||
* | *[[Metronidazole]] 250mg PO q8h x 7 days<ref name="cdc">CDC Pregnancy BV Treatment Guidelines.[http://www.cdc.gov/std/treatment/2010/vaginal-discharge.htm#a1 cdc.gov]</ref> | ||
*2g PO x 1 is also acceptable | *[[Metronidazole]] 2g PO x 1 dose is also acceptable<ref name="cdc" /> | ||
* Multiple studies have not demonstrated teratogenicity from metronidazole use<ref name="cdc" | * Multiple studies have not demonstrated teratogenicity from metronidazole use<ref name="cdc" /> | ||
====Prophylaxis ([[Sexual Assault]])==== | ====Prophylaxis ([[Sexual Assault]])==== | ||
*[[Metronidazole]] 2 g PO x 1 OR | *[[Metronidazole]] 2 g PO x 1 OR | ||
*[[Tinidazole]] 2 g PO x 1 | *[[Tinidazole]] 2 g PO x 1 | ||
Revision as of 04:27, 18 August 2015
First Line Therapy[1]
- Metronidazole 500 mg PO BID for 7 days OR
- Metronidazole gel 0.75%, one full applicator (5 g) intravaginally, qd for 5 days OR
- Clindamycin cream 2%, one full applicator (5 g) intravaginally qHS for 7 days
Alternative Regimin
- Tinidazole 2 g PO qd for 2 days OR
- Tinidazole 1 g PO qd for 5 days OR
- Clindamycin 300 mg PO BID for 7 days OR
- Clindamycin ovules 100 mg intravaginally qHS for 3 days (do not use if patient has used latex condom in last 72 hrs)
Pregnant
- Metronidazole 250mg PO q8h x 7 days[2]
- Metronidazole 2g PO x 1 dose is also acceptable[2]
- Multiple studies have not demonstrated teratogenicity from metronidazole use[2]
Prophylaxis (Sexual Assault)
- Metronidazole 2 g PO x 1 OR
- Tinidazole 2 g PO x 1