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Infectious vaginitis. Selecting therapy and preventing recurrence.
Postgrad Med. 1994 Nov 01; 96(6):85-8, 91-8.PM

Abstract

Vaginal candidiasis, trichomoniasis, and bacterial vaginosis can be difficult to manage because of predisposing factors and frequent recurrence. Thus, in addition to drug therapy, management should include attempts to minimize factors that contribute to recurrence. Both topical and oral agents are available for vaginal candidiasis and bacterial vaginosis, and both routes of administration appear equally safe and effective. Topical therapy may be used for these conditions in pregnant women. Only oral therapy is optimal for trichomoniasis. However, during pregnancy, the infection may be managed with topical clotrimazole. Currently, treatment of a woman's sexual partner is recommended in the management of trichomoniasis and is optional in cases of bacterial vaginosis. Sexual activity may also contribute to the recurrence of vaginal candidiasis; however, more studies are needed to evaluate the impact on recurrence rates of treating the male partner.

Authors+Show Affiliations

Goode MA
Department of Hospital Pharmacy Practice and Administration, Medical University of South Carolina, Charleston.
Grauer K
No affiliation info available
Gums JG
No affiliation info available

MeSH

Bacterial InfectionsCandidiasis, VulvovaginalFemaleHumansRecurrenceTrichomonas VaginitisVaginitis

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

7971615

Citation

Goode, M A., et al. "Infectious Vaginitis. Selecting Therapy and Preventing Recurrence." Postgraduate Medicine, vol. 96, no. 6, 1994, pp. 85-8, 91-8.
Goode MA, Grauer K, Gums JG. Infectious vaginitis. Selecting therapy and preventing recurrence. Postgrad Med. 1994;96(6):85-8, 91-8.
Goode, M. A., Grauer, K., & Gums, J. G. (1994). Infectious vaginitis. Selecting therapy and preventing recurrence. Postgraduate Medicine, 96(6), 85-8, 91-8.
Goode MA, Grauer K, Gums JG. Infectious Vaginitis. Selecting Therapy and Preventing Recurrence. Postgrad Med. 1994 Nov 1;96(6):85-8, 91-8. PubMed PMID: 7971615.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Infectious vaginitis. Selecting therapy and preventing recurrence. AU - Goode,M A, AU - Grauer,K, AU - Gums,J G, PY - 1994/11/1/pubmed PY - 1994/11/1/medline PY - 1994/11/1/entrez SP - 85-8, 91-8 JF - Postgraduate medicine JO - Postgrad Med VL - 96 IS - 6 N2 - Vaginal candidiasis, trichomoniasis, and bacterial vaginosis can be difficult to manage because of predisposing factors and frequent recurrence. Thus, in addition to drug therapy, management should include attempts to minimize factors that contribute to recurrence. Both topical and oral agents are available for vaginal candidiasis and bacterial vaginosis, and both routes of administration appear equally safe and effective. Topical therapy may be used for these conditions in pregnant women. Only oral therapy is optimal for trichomoniasis. However, during pregnancy, the infection may be managed with topical clotrimazole. Currently, treatment of a woman's sexual partner is recommended in the management of trichomoniasis and is optional in cases of bacterial vaginosis. Sexual activity may also contribute to the recurrence of vaginal candidiasis; however, more studies are needed to evaluate the impact on recurrence rates of treating the male partner. SN - 0032-5481 UR - https://www.unboundmedicine.com/medline/citation/7971615/Infectious_vaginitis__Selecting_therapy_and_preventing_recurrence_ DB - PRIME DP - Unbound Medicine ER -