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it is ranked #26498. Women should be advised to refrain from sexual activity or use condoms consistently and correctly during the treatment regimen. With maternal oral therapy, breastfed infants receive metronidazole in doses that are less http than those used to treat infections in infants, although the active metabolite adds to the total infant exposure. In the vagina with high concentrations of anaerobic bacteria (e.g., Prevotella. A Gram stain (considered the gold standard laboratory method for diagnosing BV) is used to determine the relative concentration of lactobacilli (i.e., long Gram-positive rods Gram-negative and Gram-variable rods and cocci (i.e.,. Last Updated: Jan 20, 2019, website and Web Server Information, website Title - Op zoek naar sexcontact? The established benefits of therapy in nonpregnant women are to relieve vaginal symptoms and signs of infection. BV also increases the risk for HIV transmission to male sex partners ( 594 ).

Intravaginal metronidazole gel can be considered for women who are not allergic to metronidazole but do not tolerate oral metronidazole. IP Whois Get more. Follow-Up Follow-up visits are unnecessary if symptoms resolve. Recommended Regimens Metronidazole 500 mg orally twice a day for 7 days OR Metronidazole gel.75, one full applicator (5 g) intravaginally, once a day for 5 days OR Clindamycin cream 2, one full applicator (5 g) intravaginally at bedtime for 7 days Alcohol consumption. PCR has been used in research settings for the detection of a variety of organisms associated with BV, but evaluation of its clinical utility is still underway. Monthly oral metronidazole 2g administered with fluconazole 150 mg has also been evaluated as suppressive therapy; this regimen reduced the incidence of BV and promoted colonization with normal vaginal flora ( 617 ). DNS Resource Records, sexpartner IP Address and Server Locations.

Other potential benefits to treatment include reduction in the risk for acquiring. However, in one study, oral BV therapy reduced the risk for late miscarriage, and in two additional studies, such therapy decreased adverse outcomes in the neonate ( 625 ). Although BV-associated bacteria can be found in the male genitalia, treatment of male sex partners has not been beneficial in preventing the recurrence of BV ( 595 ).

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