Vaginitis: diagnosis and management.
نویسنده
چکیده
Vaginitis is one of the most common ambulatory problems to occur in women. It is a disorder responsible for > 10% of visits made to providers of women's health care. Although vaginal infections are the most common cause, other considerations include cervicitis, a normal vaginal discharge, foreign-body vaginitis, contact vaginitis, atrophic vaginitis, and desquamative inflammatory vaginitis. The medical history and examination are an important source of clues to the underlying diagnosis. However, making a definitive diagnosis requires skillful performance of office laboratory procedures, including the vaginal pool wet mount examination, determination of the vaginal pH, and the whiff test. Vaginal and cervical cultures, nucleic acid tests, and point-of-care tests are available and may be required in selected patients. Once a specific diagnosis is made, effective therapy can be prescribed. Candida vaginitis is generally treated with either the vaginal administration of an imidazole or triazole antifungal agent or the prescription of oral fluconazole. Oral nitroimidazole agents, metronidazole or tinidazole, are the only effective treatments for trichomoniasis in the United States. Bacterial vaginosis, which has been linked to important gynecologic and pregnancy complications, can be treated with an available oral or topical agent containing either a nitroimidazole or clindamycin.
منابع مشابه
Diagnosis and management of infectious vaginitis.
Vaginitis is an important gynecologic disorder that accounts for nearly 5 million office visits to physicians each year. Infectious vaginitis is the most common cause for an abnormal vaginal discharge; other possible causes include cervicitis, atrophic vaginitis, physiologic discharge, physicochemical vaginitis, and psychosomatic vaginitis. Although the history and physical examination may sugg...
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INTRODUCTION Infectious vaginitis is a common clinical syndrome diagnosed in more than one quarter of women attending clinics for sexually transmitted diseases (STDs) [1] and with increasing frequency in private practice [2]. Effective management of the syndrome depends on an acceptably accurate etiologic diagnosis, as the most effective therapies are narrowspectrum medications that target the ...
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متن کاملتازه های واژینیت برای متخصصین زنان(مقاله مروری)
Background: Vaginitis is one of the most common reasons for patients seeking a physician’s care. Cervicitis is cervical inflammation due to infectious or noninfectious pathogens and can be acute or chronic. Some of these pathogens are transmitted to sexual partner or cause morbidity in gynecological surgery. Furthermore, bacterial vaginosis is a cause of morbidity in pregnancy. This study...
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1. List biologic and physiologic reasons for the disproportionate adolescent sexually transmitted disease susceptibility. 2. Describe clinical and laboratory findings on examination of a female who has mucopurulent cervicitis. 3. Describe the causative pathogens and etiologic evaluation for vaginitis. 4. List the criteria for diagnosis of pelvic inflammatory disease. 5. Describe the documentati...
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ورودعنوان ژورنال:
- Postgraduate medicine
دوره 122 6 شماره
صفحات -
تاریخ انتشار 2010