Bacterial Vaginosis

Bacterial vaginosis 

BASHH

PHE, CKS

Oral metronidazole (MTZ) is as effective as topical treatment but is cheaper.

Less relapse with 7 day than 2g stat at 4 weeks.

Pregnant/breastfeeding: avoid 2g stat. Treating partners does not reduce relapse.

Oral metronidazole

400mg BD 

or 2g stat

7 days

Stat

or metronidazole 0.75% vag gel

5g applicator at night

5 nights

or clindamycin 2% crm

5g applicator at night

7 nights