ITEMS IN AFP WITH KEYWORD:
Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.
Review the diagnosis and treatment strategies for the three main causes of vaginitis: bacterial vaginosis, vulvovaginal candidiasis, and trichomoniasis. Treatment during pregnancy and treatment of recurrent episodes are also discussed.
Bacterial vaginosis, trichomoniasis, and vulvovaginal candidiasis are the most common infectious causes of vaginitis. Bacterial vaginosis occurs when the normal lactobacilli of the vagina are replaced by mostly anaerobic bacteria. Diagnosis is commonly made using the Amsel criteria, which include va...
Apr 15, 2009 Issue
Screening for Bacterial Vaginosis in Pregnancy to Prevent Preterm Delivery [Putting Prevention into Practice]
Case study: E.R., a 23-year-old Mexican-American woman, presents for her first prenatal visit after a positive home pregnancy test. Her last menstrual cycle was 12 weeks ago.
Tinidazole is generally an expensive alternative to metronidazole for the treatment of trichomoniasis and bacterial vaginosis. It offers little, if any, advantage with regard to safety, tolerability, and effectiveness; however, its once-daily dosing and shorter course of therapy may be useful for some patients.
Jul 1, 2008 Issue
Screening for Bacterial Vaginosis in Pregnancy to Prevent Preterm Delivery [U.S. Preventive Services Task Force]
This statement summarizes the U.S. Preventive Services Task Force (USPSTF) recommendations and supporting scientificevidence on screening for bacterial vaginosis in pregnancy to prevent preterm delivery.
Nov 1, 2006 Issue
ACOG Releases Practice Guideline on Management of Vaginitis [Practice Guidelines]
Vaginitis can lead to discomfort, days lost from school or work, and sexual dysfunction. The American College of Obstetricians and Gynecologists (ACOG) has released recommendations on the diagnosis and treatment of vaginitis.
Common infectious forms of vaginitis include bacterial vaginosis, vulvovaginal candidiasis, and trichomoniasis. Vaginitis also can occur because of atrophic changes. Bacterial vaginosis is caused by proliferation of Gardnerella vaginalis, Mycoplasma hominis, and anaerobes. The diagnosis is based pri...
May 1, 2004 Issue
Vaginal Estrogen Preparations for Relief of Atrophic Vaginitis [Cochrane for Clinicians]
Vaginal estrogen preparations are safe and effective as short-term treatment in patients with vaginal atrophy who are not candidates for systemic hormone therapy. Compared with estradiol products, conjugated equine estrogen creams may be associated with a higher incidence of adverse effects. Women m...
Sep 1, 2002 Issue
Screening for and Treating Asymptomatic Bacterial Vaginosis in Pregnancy [Cochrane for Clinicians]
No. Screening for and treating BV in pregnant women who are at low risk for preterm delivery does not lower the risk of preterm delivery. If this patient were at high risk for preterm delivery (i.e., a history of preterm delivery or underweight before pregnancy), it would be reasonable to screen for BV and treat if the results are positive.