Bartholinitis is an acute bacterial infection of the Bartholin's gland, commonly caused by Neisseria gonorrhoeae or Chlamydia trachomatis. It occurs in approximately 2% of women during their reproductive years, especially between ages 20-29. Symptoms include swelling and pain in the vulvar region that worsens with physical activity. Treatment involves sitz baths, antibiotics, and potentially incision and drainage of abscesses. Antibiotics prescribed may include ceftriaxone, cefotaxime, ciprofloxacin, doxycycline, or ofloxacin.
Bartholinitis is an acute bacterial infection of the Bartholin's gland, commonly caused by Neisseria gonorrhoeae or Chlamydia trachomatis. It occurs in approximately 2% of women during their reproductive years, especially between ages 20-29. Symptoms include swelling and pain in the vulvar region that worsens with physical activity. Treatment involves sitz baths, antibiotics, and potentially incision and drainage of abscesses. Antibiotics prescribed may include ceftriaxone, cefotaxime, ciprofloxacin, doxycycline, or ofloxacin.
Bartholinitis is an acute bacterial infection of the Bartholin's gland, commonly caused by Neisseria gonorrhoeae or Chlamydia trachomatis. It occurs in approximately 2% of women during their reproductive years, especially between ages 20-29. Symptoms include swelling and pain in the vulvar region that worsens with physical activity. Treatment involves sitz baths, antibiotics, and potentially incision and drainage of abscesses. Antibiotics prescribed may include ceftriaxone, cefotaxime, ciprofloxacin, doxycycline, or ofloxacin.
Bartholinitis is an acute bacterial infection of the Bartholin's gland, commonly caused by Neisseria gonorrhoeae or Chlamydia trachomatis. It occurs in approximately 2% of women during their reproductive years, especially between ages 20-29. Symptoms include swelling and pain in the vulvar region that worsens with physical activity. Treatment involves sitz baths, antibiotics, and potentially incision and drainage of abscesses. Antibiotics prescribed may include ceftriaxone, cefotaxime, ciprofloxacin, doxycycline, or ofloxacin.
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BARTHOLINITIS
DEFINITION Bartholinitis is acute bacterial infection of Bartholins gland.
ETIOLOGY Commonly involves a N.Gonorrhoe or C.trachomatis. Abscesses often contain enteric and vaginal gram negative rods & anaerobes : Escherichia coli Stapylococcal Polymicrobial infection 3
EPIDEMIOLOGY 2% Women develop a Bartholinitis at some time in life. Occured during the reproductive years especially between 20 29 years. 4
CLINICAL FEATURES Asymptomatic or symptomatic. Increased swelling in the vulva area over 2-4-day period. Pain that occurs with walking, sitting, physical activity, or sexual intercourse. 5
CLINICAL FEATURES
Fever and chills,
Drainage from the cyst normally occurring 4 5 days after swelling start.
Bartholinitis
DIAGNOSIS Anamnesis history Clinical features examination Laboratorium :
Gram staining Culture often performed to identify bacteria causing and sensitivity 8
COMPLICATION Bartholin abcess Vaginal abcess Sepsis/ septic shoc very rare
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TREATMENT Soaking of the genital area in sitz bath, Treatment with antibiotic, Use prescription or nonprescription pain medication. 11
TREATMENT
Insicion and drainage
Placement of drain ( word catheter) Use of carbon dioxide laser.
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SYSTEMIC TREATMENT Ceftriaxone 500 mg IM daily x 1 to 3 days, or Cefotaxime 500 mg IM daily x 1 to 3 days, or Cifrofloxacin 500 mg orally bid for 7-14 days, plus 13
SYSTEMIC TREATMENT
Doxycycline 100mg orally
bid x 14 days, or Tetracycline Hcl 500 mg orally qid x 14 days, or Ofloxacin 400 mg orally qid x 14 days 14
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