Bacterial Vaginosis and Trichomoniasis: Epidemiology and Management of Recurrent Disease

[摘要] Effective therapies exist for the treatment of both vaginal trichomoniasis and bacterial vaginosis(BV). Recurrent trichomonas infection is uncommon, and significant metronidazole resistanceremains rare. The management of metronidazole-resistant trichomoniasis is dependent on susceptibilitystudies, which can be used to guide higher doses of metronidazole therapy. Recurrent BV iscommon. A mechanism for reestablishing the normal vaginal flora withH2O2-producing lactobacilliremains elusive. The management of this recurrent infection is based upon a longer duration oftherapy with currently available antibiotic regimens and documentation of a clinical response usingcomposite clinical criteria and Gram's stain of the vaginal secretions.

[学科分类] 妇产科学