Download A4Medicine Mobile App
Empower Your RCGP AKT Journey: Master the MCQs with Us! 🚀
The table outlines the recommended management protocols for Bacterial Vaginosis (BV) based on guidelines from CKS NICE. The recommendations differ for non-pregnant and pregnant women and are presented separately.
| Situation | Action/Recommendation |
|---|---|
| Non-pregnant women with BV | |
| Asymptomatic | No treatment is required, except before some gynaecological procedures. |
| Symptomatic | • Avoid contributing factors: smoking, vaginal douching, antiseptics, bubble baths, shampoos in bath. • Oral metronidazole 400 mg twice a day for 5-7 days or single dose of 2 g (if adherence is an issue). • Alternatively: intravaginal metronidazole gel 0.75% once a day for 5 days (off-label < 18 years) or intravaginal clindamycin cream 2% once a day for 7 days. • Oral clindamycin and tinidazole are other options but less preferred. - No test of cure if symptoms resolve. |
| Pregnant Women with BV | |
| Screening | No routine screening unless undergoing termination of pregnancy. |
| Asymptomatic | Discuss with the obstetrician about treatment appropriateness. |
| Symptomatic | - Avoid contributing factors: smoking, vaginal douching, antiseptics, bubble baths, shampoos in bath. - Oral metronidazole 400 mg twice a day for 5-7 days (avoid single dose of 2 g during pregnancy). - Alternatively: intravaginal metronidazole gel 0.75% once a day for 5 days (off-label < 18 years) or intravaginal clindamycin... |
Try our Free Plan to get the full article.
