A woman complains of an offensive fishy smelling yellowish discharge without pruritus. pH of discharge is >4.5. Gram stained vaginal smear shows a reduced number of lactobacilli with large number of Gardnerella vaginalis. What is the best treatment option for this patient?: (A) Clinda mycine 300 mg twice daily x7 days, (B) Metronidazole 500 mg twice daily x7 days, (C) Metronidazole 2 gm as a single dose, (D) Metronidazole vaginal gel once a day x7 days
Answer is B. Ans. is b, i.e. Metronidazole 500mg twice daily x7 daysThis patient has bacterial vaginosis based on following findings:- Offensive fishy smelling vaginal discharge- No pruritis- pH >4.5- Reduced number of lactobacilli- Increased number of GardnerellaMgt = Non pregnant females = 500mg metronidazole twice daily x7 days.Pregnancy-250mg twice a day x7 days.