Gynecological Infections

Question 1

Why does bacterial vaginosis happen?

Answer 1

The normal flora within the vagina is replaced with anaerobic bacteria

Question 2

What is the treatment of bacterial vaginosis?

Answer 2

1. Metronidazole 500mg PO BID X 7 days
2. Metronidazole gel 0.75% 5g once daily X 5 days
3. Clindamycin cream 2% 5g HS X 7 days

Question 3

Why does Trichomoniasis occur?

Answer 3

Most prevalent non viral STI
1. Due to protozoan parasite Trichomonas vaginalsis

Question 4

What is the treatment for women when have trichomoniasis?

Answer 4

Metronidazole 500mg PO BID X 7 days

Question 5

What is vulvovaginal candidiasis?

Answer 5

Occurs due to Candida albicans

Question 6

What is the treatment of vulvovaginal candidiasis?

Answer 6

Rx (oral): Fluconazole 150mg X 1

Question 7

What is PID and the most common agents?

Answer 7

1. Spectrum of inflammatory disorders of the upper female genital tract
2. N. Gonorrhoeae, C. Trachomatis

Question 8

What is the treatment of PID?

Answer 8

1. Ceftriaxone 1 g IV every 24 hours + Doxycycline 100mg PO/IV every 12 hours + metronidazole 500mg PO/IV every 12 hours
2. Cefotetan 2g IV every 12 hours + doxycycline 100mg PO/IV every 12 hours
3. Cefoxitin 2 g IV every 6 hours + Doxycycline 100mg PO/IV every 12 hours

Question 9

What has anaerobic and non-anaerobic coverage?

Answer 9

NON: Ceftriaxone + Doxycycline + Metronidazole
YES: Cefotetan + Doxycycline ; Cefoxitin + Doxycycline

Question 10

What is the treatment for uncomplicated cystitis (UTI)

Answer 10

For non-pregnant women
*only treat if symptomatic
* Bactrim, Nitrofurantoin, Fosfomycin

Question 11

What is the treatment for cystitis in pregnant women?

Answer 11

Cystitis in pregnant women is always complicated
*treat the cystitis regardless of the s/s
*Beta-lactams (Amoxicillin, augmentin, cephalexin