High-Dose Vaginal Maintenance Metronidazole for Recurrent Bacterial Vaginosis: A Pilot Study

被引:22
作者
Aguin, Tina [1 ]
Akins, Robert A. [2 ]
Sobel, Jack D. [3 ]
机构
[1] Wayne State Univ, Sch Med, Dept Obstet & Gynecol, Detroit, MI 48201 USA
[2] Wayne State Univ, Sch Med, Dept Biochem & Mol Biol, Detroit, MI USA
[3] Wayne State Univ, Sch Med, Dept Infect Dis, Detroit, MI USA
关键词
ORAL METRONIDAZOLE; THERAPY; CLINDAMYCIN;
D O I
10.1097/OLQ.0000000000000123
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
The purpose of this study was to explore the benefit of high-dose intravaginal metronidazole as a maintenance therapy in reducing recurrence rates of bacterial vaginosis (BV). Eighteen women with a history of recurrent BV and symptomatic BV were treated with metronidazole 750 mg suppository intravaginally daily for 7 days. Those in remission by Amsel criteria received metronidazole 750 mg twice weekly for 3 months with further follow-up for 3 months. High-dose metronidazole intravaginally was associated with rare clinical recurrence during the period of use. After cessation of suppression therapy, recurrence was high.
引用
收藏
页码:290 / 291
页数:2
相关论文
共 18 条
[1]  
Aguin TA, 2013, J LOW GENIT TRACT DI
[2]   Treatment of recurrent bacterial vaginosis with tinidazole [J].
Baylson, FA ;
Nyirjesy, P ;
Weitz, MV .
OBSTETRICS AND GYNECOLOGY, 2004, 104 (05) :931-932
[3]   High recurrence rates of bacterial vaginosis over the course of 12 months after oral metronidazole therapy and factors associated with recurrence [J].
Bradshaw, CS ;
Morton, AN ;
Hocking, J ;
Garland, SM ;
Morris, MB ;
Moss, LM ;
Horvath, LB ;
Kuzevska, I ;
Fairley, CK .
JOURNAL OF INFECTIOUS DISEASES, 2006, 193 (11) :1478-1486
[4]   BACTERIAL VAGINOSIS AND ANAEROBES IN OBSTETRIC-GYNECOLOGIC INFECTION [J].
ESCHENBACH, DA .
CLINICAL INFECTIOUS DISEASES, 1993, 16 :S282-S287
[5]   Targeted PCR for detection of vaginal bacteria associated with bacterial vaginosis [J].
Fredricks, David N. ;
Fiedler, Tina L. ;
Thomas, Katherine K. ;
Oakley, Brian B. ;
Marrazzo, Jeanne M. .
JOURNAL OF CLINICAL MICROBIOLOGY, 2007, 45 (10) :3270-3276
[6]  
GREAVES WL, 1988, OBSTET GYNECOL, V72, P799
[7]   Recurrent bacterial vaginosis [J].
Phillip Hay .
Current Infectious Disease Reports, 2000, 2 (6) :506-512
[8]  
Hillier SL, 1998, AIDS RES HUM RETROV, V14, pS17
[9]  
HILLIER SL, 1993, OBSTET GYNECOL, V81, P963
[10]   Bacterial vaginosis: Review of treatment options and potential clinical indications for therapy [J].
Joesoef, MR ;
Schmid, GP ;
Hillier, SL .
CLINICAL INFECTIOUS DISEASES, 1999, 28 :S57-S65