Bacterial vaginosis

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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

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

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