BV

Question 1

Likely critical bacteria in BV

Answer 1

Gardnerella and atopobium

Question 2

Risk factors for BV

Answer 2

Douching
Receiving oral sex
Black ethnicity
New partner
Smoking 
Presence of STI

Question 3

BV complications

Answer 3

Increased risk of acquiring HIV pregnant women
PID??
Post TOP endometritis

Question 4

BV pregnancy complications

Answer 4

Late Miscarriage
Preterm birth
PPROM
Post partum endometritis

Question 5

Amsel criteria for BV

Answer 5

1) thin white d/c
2) clue cells
3) pH >4.5
4) fishy smell with alkali

Question 6

Hay/ Ison criteria for BV

Answer 6

Grade 1: normal lacto
Grade 2: intermediate mixed flora with some lacto but gardnerella or mobiluncus also
Grade 3 BV : mainly gardnerella or mobiluncus. Few or absent lacto

Question 7

Rx for BV standard 4 options

Answer 7

Metronidazole 400mg BD for 5/7
Metronidazole 2g stat
Intravaginal metronodazole 0.75% OD for 5/7
Intravaginal clindamycin cream 2% OD for 7/7 can weaken codnoms

Question 8

Alternative BV Rx

Answer 8

Tinidazole 2g single dose or

Clindamycin 300mg BD for 7/7

Question 9

Breastfeeding women and Rx for BV

Answer 9

Intravaginal metronidazole

Question 10

Recurrent BV Mx

Answer 10

Metronidazole vaginal gel twice weekly for 16 weeks