Google Web Health Directory: Metronidazole
Showing posts with label Metronidazole. Show all posts
Showing posts with label Metronidazole. Show all posts

09 November, 2008

BRIEF OVERVIEW:TRICHOMONIASIS

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Hi ,good morning,This overview completes our discussion on three most common vaginal infection.
Trichomoniasis effects both men and women,but the symptoms are more common in womenIt is caused by a single celled protozoa called Trichomonas vaginalis.The disease is very common in sexually active young women.Trichommoniasis is easily curable.
SYMPTOMS:In women it affects the vagina.
1.yellowish green vaginal discharge with a strong fishy odor.
2.pain during urination.
3.discomfort during intercourse
4.burning and itching sensation.
In men it affects the urethra[urinary canal],but most of the men does not have any symptoms or presents with burning sensation during urination or slight discharge.

PREVENTION:1.Proper use of a latex condom
2.monogamous relationship with known non-infected partner.
3.sexual abstinance.
DIAGNOSIS:Whenever any individual notices these symptoms he/she should contact a health care provider.Diagnosis is made by clinical,pelvic examination and some tests.

INVESTIGATIONS:vaginal discharge is collected by swab and examined under microscope or subjected to culture and microassays.Culture and microassays are more sensitive than microscopic examination.

TREATMENT:Metronidazole or tinidazole,single dose.Metronidazole can be given during pregnancy.Both the partners should be simultaneously treated,because it is a sexually transmitted disease.

RISKS:This infection can cause low birth weight baby or premature delivery during pregnancy.It increases the chance of being infected with HSV-2,HIV[if obviously the partner has it]
If anybody notices such symptoms please visit a physician.Any more querries please post a comment.,or subscribe.
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05 November, 2008

BRIEF OVERVIEW:BACTERIAL VAGINOSIS

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Vaginitis is a disorder which presents with vaginal discharge,itching and irritation.Three most common causes of vaginitis are bacterial vaginosis,trichomoniasis and candida infection.

Today i will present a brief overview about bacterial vaginosis.Bacterial vaginosis is a disorder of alternation of the normal vaginal flora.The good bacteria of the vagina[Lactobacillus] is replaced by bad bacterias like Prevotella,mobilincus,mycoplasma hominis,Gardenella vaginalis etc.The symptoms are white vaginal discharge,vaginal irritation etc.Many women remain asymptomatic.

The diagnostic criteria are:1.whitish homogenous discharge lining the vaginal wall

2.ph>4.5 measured by narrow range ph paper.

3.CLUE CELLS[epithelial cells lined lined by bacteria]

4.fishy odour of vaginal discharge when mixedwith KOH

The gold standard test is the relative concentration of lactobacilli and the other bad bacterias in gram stain of vaginal discharge.Culture of G.vaginalis is not specific.DNA probe test for G.vaginalis may be helpful in diagnosis.Ph paper test,test for trimethylamine,prolineaminopeptidase may be helpful.

TREATMENT:Metronidazole tablet orally

Metronidazole cream

clindamycin gel

All symptomatic women should be treated

BACTERIAL VAGINOSIS AND PREGNANCY:Bacterial vaginosis causes pre-mature rupture of membrane,pre-term labour,pre-term birth.chorioamnionitis.Any pregnant women with symptoms of bacterial vaginosis should be treated.Pregnant women without symptoms,but with high risk of premature delievery should also be treated.Treatments options are metronidazole,clindamycin tablets.Clindamycin should not be given during the second half of pregnancy.

Treatment of partners is not recommended because it does not reduce recurrence of disease.

In bacterial vaginosis with HIV,the treatment is same but the disease is more persistent.

everybody should consult their respective physicians regarding this topic.Any further querries please ask me.GOOD NIGHT.

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