ATOPOBIUM VAGINAE:ROLE IN RELAPSING BACTERIAL VAGINOSIS

GOOD MORNING FRIENDS.A short post before going to work.BACTERIAL VAGINOSIS, is usually an easily treatable condition,as mentioned in my previous post about bacterial vaginosis.It usually responds promptly to a course of metronidazole.

But in some instances relapses are seen after a course of metronidazole.In many of these cases co-infection with a recently recognised bacteria atopobium vaginae or yeast[candida albicans] is seen.

Atopobium vaginae is a recently recognised bacteria that has been shown to have a causative role in relapsing bacterial vaginosis.This bacteria is difficult to diagnose, and the problem is it is resistent to metronidazole,the commonly used drug for bacterial vaginosis.Although it is sensitive to treatment with clindamicin,ampicillin/sulbactum,imipenem,meropenem etc.Usually clindamycin is used.

FOR FURTHER INFORMATION ON THIS, PLEASE CONTACT YOUR DOCTOR OR LOCAL HEALTH-CARE PROVIDER.

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brief overview:yeast infection of the vagina

Hi everybody and good morning.Today my discussion topic is candida infection of the vagina[also called vaginal moniliasis,vaginal yeast infection].
It is a relatively common disease.Candida has several types,but most of the disease are caused by candida albicans.The yeast resides in our skin,mouth,rectum,vagina without causing disease.But the problem occurs when candida outnumber the normal protective predominant bacteria in the vagina[Lactobacillus].
RISK FACTORS:1.Excessive antibiotic use
2.diabetes
3.pregnancy
4.diseases affecting the immune system[HIV/AIDS,LEUKEMIA,CANCER DRUGS ETC]
SYMPTOMS AND SIGNS:1.vaginal discharge[white or yellowish]
2.irritation & itching of vulva
3.pain during urination
4.pain following intercourse
5.redness of vulva
DIAGNOSIS:By WET PREP[microscopy of vaginal discharge]
TREATMENT:The drugs used are clotrimazole,miconazole,nystatin vaginal creams.Oral drugs effective are fluconazole,amphotericin B.
Usually it is completely curable.Sometimes recurrence occurs specially in immunosuppressed conditions[HIV/AIDS].Oral fluconazole is usually effectine in these conditions.
Oral drugs should not be given in pregnancy.
PREVENTION:To keep the local area dry.
Whenever you notice the aforesaid symptoms or recurrence occurs with over the counter medicines please contact your local health provider.Any further querries regarding this disease feel free to ask me.
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