Vulvovaginitis - Related Resources

Cochrane reviews

• Probiotics may be effective for bacterial vaginosis Probiotics for the Treatment of Bacterial Vaginosis.
• Antibiotics are effective in the treatment of bacterial vaginosis in pregnancy but do not prevent preterm birth before 37 weeks, at least not after 20 weeks' gestation. After previous preterm birth, treatment may reduce the risk of preterm prelabour rupture of membranes and low birthweight Antibiotics for Treating Bacterial Vaginosis in Pregnancy.
• Metronidazole as a single oral dose of 2 g is effective against trichomoniasis in pregnancy, but the effects on pregnancy outcomes are uncertain Interventions for Trichomoniasis in Pregnancy.

• Workowski KA, Bolan GA; Centers for Disease Control and Prevention. Sexually Transmitted Diseases Treatment Guidelines, 2015: Recommendations and Reports. June 5, 2015 / 64(RR3);1-137. http://www.cdc.gov/mmwr/preview/mmwrhtml/rr6403a1.htm

Literature

• Eckert LO. Clinical practice. Acute vulvovaginitis. N Engl J Med 2006 Sep 21;355(12):1244-52. [PubMed]
• Sobel JD. Desquamative inflammatory vaginitis: a new subgroup of purulent vaginitis responsive to topical 2% clindamycin therapy. Am J Obstet Gynecol 1994 Nov;171(5):1215-20. [PubMed]
• Spence D, Melville C. Vaginal discharge. BMJ 2007 Dec 1;335(7630):1147-51. [PubMed]