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Diagnosis and Management of Bacterial Vaginosis and Other Types of Abnormal Vaginal Bacterial Flora: A Review.

Donders, Gilbert MD, PhD

Obstetrical & Gynecological Survey: July 2010 - Volume 65 - Issue 7 - pp 462-473
doi: 10.1097/OGX.0b013e3181e09621
CME Program: CME REVIEW ARTICLES 19, 20, AND 21: CME REVIEW ARTICLE 21

Bacterial vaginosis (BV) is a common cause of abnormal vaginal discharge. It is characterised by an overgrowth of predominantly anaerobic organisms (Gardnerella vaginalis, Prevotella spp., Peptostreptocci, Mobiluncus spp.) in the vagina leading to a replacement of lactobacilli and an increase in vaginal pH. BV can arise and remit spontaneously, but often presents as a chronic or recurrent disease. BV is found most often in women of childbearing age, but may also be encountered in menopausal women, and is rather rare in children. The clinical and microscopic features and diagnosis of BV are herein reviewed, and antibiotic and non-antibiotic treatment approaches discussed.

Target Audience: Obstetricians & Gynecologists, Family Physicians

Learning Objectives: After completion of this educational activity, the participant should be better able to analyze bacterial vaginosis clinically, formulate an oral antibiotic treatment regimen for bacterial vaginosis and use vaginal treatments for bacterial vaginosis.

Director of Femicare, Department of Obstetrics and Gynecology, Regional Hospital H Hart Tienen, Consultant, Department of Obstetrics, University Hospital Gasthuisberg Leuven, Belgium; and Visiting Professor, Department of Obstetrics, University Hospital Citadelle Liège, Belgium

Chief Editor's Note: This article is part of a series of continuing education activities in this Journal through which a total of 36 AMA/PRA category 1 credits™ can be earned in 2010. Instructions for how CME credits can be earned appear on the last page of the Table of Contents.

Unless otherwise noted below, each faculty's and staff's spouse/life partner (if any) has nothing to disclose.

All faculty and staff in a position to control the content of this CME activity have disclosed that they have no financial relationships with, or financial interests in, any commercial companies pertaining to this educational activity.

Correspondence to: Gilbert G. Donders, MD, PhD, Dept OB Gyn, University Hospital Gasthuisberg, Herestraat 33, 3300 Leuven, Belgium. E-mail:Gilbert.Donders@femicare.net.

© 2010 Lippincott Williams & Wilkins, Inc.