Bacterial Vaginosis
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1. The therapy for this patient would have many particular aims, the most important of which
would be to get rid of the vaginal discharge, cut down on the odor, and get the pH back up to
a normal level. A round of antibiotic treatment will bring about the desired results (Kairys &
Garg, 2019).
this patient if it were possible to do so. According to Abou Chacra et al. (2022), the
recommended These drugs are beneficial in the treatment of bacterial vaginosis. First-line
3. The eradication of vaginal discharge, the decrease of the odor, and the restoration of the
pH to a normal level would be the measures that would be used to monitor the efficacy of the
treatment. Following up with the patient within a few days to a week to evaluate them for
4. Two components of patient education that would be based on the recommended course of
therapy are avoiding douching and taking the medicine exactly as prescribed. Even if their
symptoms get better, the patient should be instructed to keep taking the medicine for the
whole duration of the suggested therapy. Douching should also be avoided since it might
disrupt the natural balance of the vagina and raises the risk of infections. Women with
5. An allergic response or an intolerance to the drug would be the one or two adverse
reactions for the chosen agent that would prompt me to modify my treatment plan. If the
patient has an adverse response to the antibiotic, they should be transferred to another course 3
of treatment. If they develop an intolerance, they may be able to take the drug at a reduced
dosage.
for the second-line therapeutic position. These drugs are beneficial in the treatment of
azithromycin unless the patient is pregnant or has a history of severe allergic reactions.
considered as an alternative option for BV treatment. Boric acid has demonstrated efficacy
against BV, especially in recurrent cases. However, it is important to emphasize that OTC
8. The modifications in diet or lifestyle that should be advocated include eating a balanced
diet and abstaining from excessive alcohol consumption. Teaching the patient how to eat a
balanced diet is essential for maintaining their general health. Douching should also be
avoided since it raises the risk of infections and has the potential to upset the vagina’s natural
balance.
9. For the chosen agent, there are just one or two drug-drug or drug-food interactions:
Clindamycin should be taken with food, and metronidazole should not be used with alcohol.
These are the only two possible interactions. Alcohol use is strictly prohibited when taking
metronidazole since it increases the risk of nausea and vomiting. Clindamycin may induce
References
Abou Chacra, L., Fenollar, F., & Diop, K. (2022). Bacterial vaginosis: what do we currently
https://www.frontiersin.org/articles/10.3389/fcimb.2021.672429/full
Hesham, H., Mitchell, A. J., Bergerat, A., Hung, K., & Mitchell, C. M. (2021). Impact of
021-02426-5
Kairys, N., & Garg, M. (2019, May 4). Bacterial Vaginosis. Nih.gov; StatPearls Publishing.
https://www.ncbi.nlm.nih.gov/books/NBK459216/
