Template:BV Antibiotics

Revision as of 14:47, 5 June 2015 by Neil.m.young (talk | contribs) (updated treatment per CDC)

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 Regimine

  • 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)

Pregnancy

  • Alternative: 250mg PO q8h x 7 days in pregnant patients[2]
  • 2g PO x 1 is also acceptable in pregnancy[2]
  • Multiple studies have not demonstrated teratogenicity from metronidazole use[2]

Prophylaxis (Sexual Assault)

  • Workoski KA and Bolan GA. Sexually transmitted diseases treatment guidelines, 2015. MMWR Recommen and Reports. 2015; 64(3):1-140.
  • 2.0 2.1 2.2 CDC Pregnancy BV Treatment Guidelines.cdc.gov