Guidelines for the Management of Sexually Transmitted Infections. February 2004
(2004; 88 pages)
Table of Contents
View the documentPREFACE
Open this folder and view contents1. INTRODUCTION
Close this folder2. TREATMENT OF STI-ASSOCIATED SYNDROMES
Open this folder and view contents2.1. Urethral discharge
Open this folder and view contents2.2. Genital ulcer
View the document2.3. Scrotal swelling
Close this folder2.4. Vaginal discharge
View the documentCervical infection
View the documentVaginal infection
View the document2.5. Lower abdominal pain
View the document2.6. Neonatal conjunctivitis
Open this folder and view contents3. TREATMENT OF SPECIFIC INFECTIONS
Open this folder and view contents4. KEY CONSIDERATIONS UNDERLYING TREATMENTS
Open this folder and view contents5. PRACTICAL CONSIDERATIONS IN STI CASE MANAGEMENT
Open this folder and view contents6. CHILDREN6, ADOLESCENTS AND SEXUALLY TRANSMITTED INFECTIONS
View the documentANNEX. LIST OF PARTICIPANTS
 

Vaginal infection

Recommended syndromic treatment

• therapy for bacterial vaginosis (for details see section 3.10)

PLUS

• therapy for Trichomonas vaginalis (for details see section 3.9)

AND, WHERE INDICATED,

• therapy for Candida albicans (for details see section 3.11)

AT A GLANCE

Vaginal infection

For details, see sections 3.9 - 3.11

Drug options for BV

Drug options for TV

Drug options for Candida

Metronidazole

Metronidazole

Miconazole

 

Tinidazole

Clotrimazole

   

Fluconazole

Alternatives

 

Alternative

Clindamycin

 

Nystatin

Metronidazole gel

   

Clindamycin vaginal cream

   

Note

• Patients taking metronidazole should be cautioned to avoid alcohol.


FIGURE 6. VAGINAL DISCHARGE


FIGURE 7. VAGINAL DISCHARGE (SPECULUM AND BlMANUAL)


FIGURE 8. VAGINAL DISCHARGE (SPECULUM AND MICROSCOPE)

Notes:

1. KOH Test: 1 drop 10% KOH to reveal the amine odour (fishy)

2. Wet mount: smear on slide with 1 drop of saline and view at 400x

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