vaginal discharge and PID Flashcards
what us the treatment for BV
metronidazole
how will candidiasis be treated in pregnancy?
clotrimazole pessary
which patients are more likely develop candidiasis?
diabetes mellitus
drugs: antibiotics, steroids
pregnancy
immunosuppression: HIV
what is defined as recurrent candidiasis?
recurrent vaginal candidiasis as 4 or more episodes per year
what is the induction- maintenance regime for recurrent candidiasis?
induction: oral fluconazole every 3 days for 3 doses
maintenance: oral fluconazole weekly for 6 months
how is complicated candidiasis treated vs uncomplicated?
uncomplicated- cotrimazole pessary
complicated-Treatment of severe infection involves:
Either two doses of oral fluconazole 150 mg (taken 3 days apart)
if oral treatment is contraindicated, two doses of clotrimazole 500 mg vaginal pessary (used 3 days apart).
what is the presenting complaint of candidiasis?
- cottage cheese discharge
- vulvitis
- itch
what is the presenting complaint with trichomonas vaginalis?
- offensive yellow/green frothy discharge
- vulvovaginitis (inflammation)
- strawberry cervix
what is the presenting complaint for bacterial vaginosis?
- offensive, thin white/grey fishy discharge
what are sexually transmitted causes of PID?
- N.gonorrhoea
- chlamydia
- mycoplasma genitalium
what are non sexually transmitted causes of PID?
- gardnerella vaginitis (BV associated)
- haemophillus influenza
- e.coli
instrumentation of the cervix can also cause infection
what are clinical featured of PID?
lower Abdo pain deep dyspareunia post coital bleeding dysuria abnormal vaginal discharge
what type of swab is needed for gonorrhoea, mycoplasma genitalium and chlamydia?
NAAT swab- nucleic acid amplification swab
what type of swab is needed for BV, candidiasis and trichomonias?
high vaginal swab
what Is the regimen of medications given for PID?
- 1g im ceftriaxone -> gonorrhoea
- 100mg doxycycline bd 14 days -> chlamydia and mycoplasma genitalium
- 400mg of metronidazole BDS 14 days –> gardenella vaginalis
