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Infectious Diseases in Obstetrics and Gynecology
Volume 2, Issue 5, Pages 242-247
Review Article

Bacterial Vaginosis and Trichomoniasis: Epidemiology and Management of Recurrent Disease

Department of Obstetrics and Gynecology, Medical College of Virginia, Virginia Commonwealth University, Box 34, MCV Station, Richmond 23298-0034, VA, USA

Received 26 April 1994; Accepted 9 August 1994

Copyright © 1995 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Effective therapies exist for the treatment of both vaginal trichomoniasis and bacterial vaginosis (BV). Recurrent trichomonas infection is uncommon, and significant metronidazole resistance remains rare. The management of metronidazole-resistant trichomoniasis is dependent on susceptibility studies, which can be used to guide higher doses of metronidazole therapy. Recurrent BV is common. A mechanism for reestablishing the normal vaginal flora with H2O2-producing lactobacilli remains elusive. The management of this recurrent infection is based upon a longer duration of therapy with currently available antibiotic regimens and documentation of a clinical response using composite clinical criteria and Gram's stain of the vaginal secretions.