Name
VAGINITIS
DESCRIPTION
DETAIL
D.D. : - TRICHOMONIASIS - BACTERIAL VAGINOSIS - GONOCOCCAL INFECTION - GENITAL HERPES - CANDIDIASISOTHER TESTS : * DIRECT SMEAR EXAMINATION FOR HYPHAE * CARD & DIPSTICK TEST FOR BACTERIAL VAGINOSIS * DNA PROBE TEST FOR T. VAGINALIS C. ALBICANS
TYPENOTES
TREATMENT : T vaginalis infection Because trichomonads often infect the urethra and the Skene and Bartholin glands, systemic chemotherapy is recommended. Metronidazole (Flagyl) is the treatment of choice both for patients who are immunocompetent and for those who are immunocompromised. Topical treatment with nonoxynol-9 and povidone-iodine douches has been shown to be effective in treating T vaginalis infection in women unable to use metronidazole. Further studies are needed to confirm this preliminary finding. A vaccine of killed "aberrant lactobacilli" is available in Europe. This vaccine has not been evaluated in well-controlled, double-blind prospective trials. Vaginal candidiasis A variety of potent azole agents (oral and topical) are available. Azoles are fungistatic agents. Boric acid can be used in resistant cases. Bacterial vaginosis: Metronidazole (Flagyl) and clindamycin are effective in the treatment of BV. Diet: Acidophilus supplements in the diet may help prevent vaginitis, especially if patients are taking antibiotics. DRUG THERAPY : 1. ANTIPROTOZOAL AGENTS : - METRONIDAZOLE 2. ANTIFUNGAL : A - IMIDAZOLE DERIVATIVES : - MICONAZOLE - CLOTRIMAZOLE - TERCONAZOLE - TIOCONAZOLE - BUTOCONAZOLE - NYSTATIN - FLUCONAZOLE - KETOCONAZOLE 3. ANTIBIOTICS : - CLINDAMYCIN 4. HORMONES : INDICATED FOR ATROPHIC VAGINITIS A - ESTROGENS : - PREMARIN OR DIENESTROL CREAM 5. TOPICAL ANTI-INFECTIVES - BACITRACIN ETC.
RELATED DISEASE
Not Available Disease
DISEASE
INVESTIGATION
BLOOD SUGAR ( FASTING ), HIV I & II, SERUM E2 ( FEMALE ), PAP"S SMEAR, COMPLETE BLOOD COUNT, PUS CULTURE TEST, BLOOD SUGAR ( RANDOM ), SMEAR TEST - WET
[CHEBULIC MYROBLANT]