Bacterial vaginosis isn’t always sexually transmitted, and that trichomoniasis likely didn’t come from a toilet seat.
Bacterial vaginosis isn’t always sexually transmitted, and that trichomoniasis likely didn’t come from a toilet seat. Trichominiasis vaginalis is a parasitic protozoan and Gardenella vaginalis is the cause of bacterial vaginosis. Metronidazole is known for excellent anaerobe coverage, but it also has antiparasitic activity. Two bugs, one antimicrobial. Slight difference on dosing preference. For trichomoniasis, metronidazole 500 mg bid x 7 days is preferred in women over 2 gm as a single dose. Twice daily frequency was associated with a lower incidence of positive recurrent test at 1 month. This doesn’t apply to men since they were excluded from the trial. Bacterial vaginosis can be a result of an overgrowth of common vaginal wall organisms. Metronidazole 500 mg bid x 7 days or gel application intravaginally are first line options. Different forms of clindamycin are effective in treating bacterial vaginosis as well. Tinidazole 2gm as a single dose can be used as an alternative for both indications. Share the PHARMFAX. Thanks for a follow. I hope you learned something new.
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