Bacteriële vaginose
Advices
| Priority | Medication | Remarks |
|---|---|---|
|
Priority: 1st choice |
Medication: metronidazol suppository 500mg 1dd 7 days |
|
|
Priority: 1st choice alternative |
Medication: metronidazol po 2000mg one-off or
metronidazol po 500mg 2dd 7 days |
|
|
Priority: 2nd choice |
Medication: clindamycine topical 2% 1dd 7 days |
|
|
Medication: metronidazol po 2000mg one-off or
clindamycine topical 2% 1dd 7 days |
Remarks:
bij lactatie; eenmalige dosis metronidazol na de laatste voeding van de dag. |
| Priority | Medication | Remarks |
|---|---|---|
|
Priority: 2nd choice |
Medication: metronidazol po 2000mg one-off or
metronidazol suppository 500mg 1dd 7 days |
|
|
Medication: clindamycine topical 2% 1dd 7 days |
Remarks:
in 1e trimester |
Sources
-
https://www.nhg.org/sites/default/files/content/nhg_org/uploads/multidisciplinaire_richtlijn_soa_2018_update_2019.pdf
Multidisciplinaire Richtlijn Seksueel Overdraagbare Aandoeningen, herziening 2018
Antimicrobial resources
The following antimicrobial agents have been used in these recommendations:
External antimicrobial resources
Menu position
Metadata
Swab vid: G-499053.1
Updated: 07/07/2020 - 14:03
Status: Published
General comments
De metronidazol supps ’s avonds voor slapen gaan diep vaginaal inbrengen.
Clindamycine vaginaal (crème voor vaginaal gebruik (20 mg/g) ’s avonds voor slapen gaan 1 applicatorvulling (5 gram) diep vaginaal inbrengen.
Overweeg probiotica-combi + zure polymere gel i.o.m. gynaecoloog/medisch microbioloog.