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Bacterial vaginosis and trichomoniasis: epidemiology and management of recurrent disease.

Authors
  • 1
Type
Published Article
Journal
Infectious diseases in obstetrics and gynecology
Publication Date
Volume
2
Issue
5
Pages
242–247
Identifiers
PMID: 18475402
Source
Medline

Abstract

Effective therapies exist for the treatment of both vaginal trichomoniasis and bacterial vaginosis (BV). Recurrent trichomonas infection is uncommon, and significant metronidazole resistance remains rare. The management of metronidazole-resistant trichomoniasis is dependent on susceptibility studies, which can be used to guide higher doses of metronidazole therapy. Recurrent BV is common. A mechanism for reestablishing the normal vaginal flora with H2O2-producing lactobacilli remains elusive. The management of this recurrent infection is based upon a longer duration of therapy with currently available antibiotic regimens and documentation of a clinical response using composite clinical criteria and Gram's stain of the vaginal secretions.

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