Ver el código de «Template:BV Antibiotics»

====First Line Therapy<ref name="CDC Sexually Transmitted Infections Treatment Guidelines, 2021">CDC Sexually Transmitted Infections Treatment Guidelines, 2021.[https://www.cdc.gov/mmwr/volumes/70/rr/pdfs/rr7004a1-H.pdf]</ref>====
*{{AntibioticDose|disease=Bacterial vaginosis|drug=Metronidazole|dose=500 mg PO Twice Daily for 7 days|context=First Line}} OR
*[[Metronidazole]] gel 0.75%, one full applicator (5 g) intravaginally, Daily for 5 days OR
*{{AntibioticDose|disease=Bacterial vaginosis|drug=Clindamycin|dose=cream 2%, one full applicator (5 g) intravaginally Nightly for 7 days|context=First Line, Topical}}
Metronidazole does not cause a disulfiram-like reaction with alcohol.<ref name="Is combining metronidazole and alcohol really hazardous?">Is combining metronidazole and alcohol really hazardous?[http://www.ncbi.nlm.nih.gov/pubmed/25223673]</ref>

====Alternative Regimin====
*{{AntibioticDose|disease=Bacterial vaginosis|drug=Clindamycin|dose=300 mg PO BID for 7 days|context=Alternative}} OR
*[[Clindamycin]] ovules 100 mg intravaginally qHS for 3 days (do not use if patient has used latex condom in last 72 hours)
Other regimens have been studied and have varying efficacy compared to placebo but due to cost and availability do not represent alternatives outside of absolute contraindications to preferred regimens.

====Pregnant====
*{{AntibioticDose|disease=Bacterial vaginosis|drug=Metronidazole|dose=500mg PO Twice a day x 7 days|context=Pregnant}}<ref name="CDC Sexually Transmitted Infections Treatment Guidelines, 2021">CDC Sexually Transmitted Infections Treatment Guidelines, 2021.[https://www.cdc.gov/mmwr/volumes/70/rr/pdfs/rr7004a1-H.pdf]</ref>
*[[Metronidazole]] 250mg PO Three times a day has also been studied<ref name="Reduced incidence of preterm delivery with metronidazole and erythromycin in women with bacterial vaginosis">Reduced incidence of preterm delivery with metronidazole and erythromycin in women with bacterial vaginosis[http://www.ncbi.nlm.nih.gov/pubmed/7491136]</ref><ref name="Effect of metronidazole in patients with preterm birth in preceding pregnancy and bacterial vaginosis: a placebo-controlled, double-blind study">Effect of metronidazole in patients with preterm birth in preceding pregnancy and bacterial vaginosis: a placebo-controlled, double-blind study[http://www.ncbi.nlm.nih.gov/pubmed/8059811]</ref>
* Although metronidazole crosses the placenta, no evidence of teratogenicity or mutagenic effects among infants has been reported in multiple cross-sectional, case-control, and cohort studies of pregnant women<ref name="CDC Sexually Transmitted Infections Treatment Guidelines, 2021">CDC Sexually Transmitted Infections Treatment Guidelines, 2021.[https://www.cdc.gov/mmwr/volumes/70/rr/pdfs/rr7004a1-H.pdf]</ref>

====Prophylaxis ([[Sexual Assault|Sexual Assault]])==== 
*{{AntibioticDose|disease=Bacterial vaginosis|drug=Metronidazole|dose=500mg PO Twice a day x 7 days|context=Sexual Assault Prophylaxis}}<ref name="Sexual Assault and Abuse and STIs – Adolescents and Adults">Sexual Assault and Abuse and STIs – Adolescents and Adults[https://www.cdc.gov/std/treatment-guidelines/sexual-assault-adults.htm]</ref>