Template:BV Antibiotics
Revision as of 01:22, 26 January 2026 by Ostermayer (talk | contribs) (Created page with "====Embarazada====")
Tratamiento de Primera Línea[1]
- Metronidazole 500 mg VO Dos veces al día por 7 días O
- Metronidazole gel 0,75%, un aplicador completo (5 g) intravaginal, Diario por 5 días O
- Clindamycin crema 2%, un aplicador completo (5 g) intravaginal Durante la noche por 7 días
El metronidazole no causa una reacción tipo disulfiram con el alcohol.[2]
Régimen Alternativo
- Clindamycin 300 mg VO BID por 7 días O
- Clindamycin óvulos 100 mg intravaginales qHS por 3 días (no usar si el paciente ha usado condón de látex en las últimas 72 horas)
Otros regímenes han sido estudiados y tienen eficacia variable comparada con placebo pero debido al costo y disponibilidad no representan alternativas fuera de contraindicaciones absolutas a los regímenes preferidos.
Embarazada
- Metronidazole 500mg PO Twice a day x 7 days[1]
- Metronidazole 250mg PO Three times a day has also been studied[3][4]
- Although metronidazole crosses the placenta, no evidence of teratogenicity or mutagenic effects among infants has been reported in multiple cross-sectional, case-control, and cohort studies of pregnant women[1]
Prophylaxis (Sexual Assault)
- Metronidazole 500mg PO Twice a day x 7 days[5]
- ↑ 1.0 1.1 1.2 CDC Sexually Transmitted Infections Treatment Guidelines, 2021.[1]
- ↑ Is combining metronidazole and alcohol really hazardous?[2]
- ↑ Reduced incidence of preterm delivery with metronidazole and erythromycin in women with bacterial vaginosis[3]
- ↑ Effect of metronidazole in patients with preterm birth in preceding pregnancy and bacterial vaginosis: a placebo-controlled, double-blind study[4]
- ↑ Sexual Assault and Abuse and STIs – Adolescents and Adults[5]