Vulvovaginitis - Revision history

Rossdonaldson1: /* Management */

2024-06-19T22:45:08Z

Management

2024-06-19T22:40:26Z

Management

← Revisión anterior		Revisión del 22:40 19 jun 2024
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	\| [[Trichomoniasis]] \|\| Treat \|\| '''Treat''' \|\| Yes (in 3 months; use NAAT) \|\| Yes		\| [[Trichomoniasis]] \|\| Treat \|\| '''Treat''' \|\| Yes (in 3 months; use NAAT) \|\| Yes
	\|}		\|}

			===[[Bacterial vaginosis]]===
			{{BV Antibiotics}}

	===[[Candida vulvovaginitis]]===		===[[Candida vulvovaginitis]]===

2024-06-19T22:36:53Z

Management

← Revisión anterior		Revisión del 22:36 19 jun 2024
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	\| [[Trichomoniasis]] \|\| Treat \|\| '''Treat''' \|\| Yes (in 3 months; use NAAT) \|\| Yes		\| [[Trichomoniasis]] \|\| Treat \|\| '''Treat''' \|\| Yes (in 3 months; use NAAT) \|\| Yes
	\|}		\|}

			===[[Candida vulvovaginitis]]===
			{{Candidiasis Treatment}}

	==Disposition==		==Disposition==

2024-06-19T20:50:08Z

Workup

← Revisión anterior		Revisión del 20:50 19 jun 2024
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	==Evaluation==		==Evaluation==
	===Workup===		===Workup===
	*~~History and GU exam are required, and a chaperone should accompany the provider~~		*Upreg
	*Evaluate for infectious causes with cultures, wet mount, and trichomonas NAAT (or molecular vaginitis panel)		*Evaluate for infectious causes with cultures, wet mount, and trichomonas NAAT (or molecular vaginitis panel)
	**Respiratory or enteric flora may be seen in vaginal cultures from pre-puberal females		**Respiratory or enteric flora may be seen in vaginal cultures from pre-puberal females

2024-06-19T20:49:05Z

Treatment for Test-Positive Patients based on Organism and Symptomatology

← Revisión anterior		Revisión del 20:49 19 jun 2024
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	===Treatment for Test-Positive Patients based on Organism and Symptomatology===		===Treatment for Test-Positive Patients based on Organism and Symptomatology===
	{\| class="wikitable"		{\| class="wikitable"
	! Positive Organism !! Symptomatic !! Asymptomatic !! Test of cure needed? !! ~~Need to treat~~ sexual ~~partners~~?		! Positive Organism !! Symptomatic !! Asymptomatic !! Test of cure needed? !! Treat sexual partner(s)?
	\|-		\|-
	\| [[BV]] \|\| Treat \|\| Do not treat \|\| No, unless persistent symptoms \|\| No		\| [[BV]] \|\| Treat \|\| Do not treat \|\| No, unless persistent symptoms \|\| No

2024-06-19T20:48:16Z

Treatment for Test-Positive Patients based on Organism and Symptomatology

← Revisión anterior		Revisión del 20:48 19 jun 2024
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	===Treatment for Test-Positive Patients based on Organism and Symptomatology===		===Treatment for Test-Positive Patients based on Organism and Symptomatology===
	{\| class="wikitable"		{\| class="wikitable"
	! Positive Organism !! Symptomatic !! Asymptomatic !! Test of cure needed ~~to confirm clearance of infection~~? !! Need to treat sexual partners?		! Positive Organism !! Symptomatic !! Asymptomatic !! Test of cure needed? !! Need to treat sexual partners?
	\|-		\|-
	\| [[BV]] \|\| Treat \|\| Do not treat \|\| No, unless persistent symptoms \|\| No		\| [[BV]] \|\| Treat \|\| Do not treat \|\| No, unless persistent symptoms \|\| No
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	\| [[Vaginal candidiasis]] \|\| Treat \|\| Do not treat \|\| No, unless persistent symptoms \|\| No		\| [[Vaginal candidiasis]] \|\| Treat \|\| Do not treat \|\| No, unless persistent symptoms \|\| No
	\|-		\|-
	\| [[Trichomoniasis]] \|\| Treat \|\| '''Treat''' \|\| Yes (in 3 months)~~. Recommend testing with NAAT.~~ \|\| Yes		\| [[Trichomoniasis]] \|\| Treat \|\| '''Treat''' \|\| Yes (in 3 months; use NAAT) \|\| Yes
	\|}		\|}

2024-06-19T20:46:41Z

Treatment for Test-Positive Patients based on Organism and Symptomatology

← Revisión anterior		Revisión del 20:46 19 jun 2024
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	===Treatment for Test-Positive Patients based on Organism and Symptomatology===		===Treatment for Test-Positive Patients based on Organism and Symptomatology===
	{\| class="wikitable"		{\| class="wikitable"
	!Positive Organism !! Symptomatic !! Asymptomatic		! Positive Organism !! Symptomatic !! Asymptomatic !! Test of cure needed to confirm clearance of infection? !! Need to treat sexual partners?
	\|-		\|-
	\| [[BV]] \|\| Treat \|\| Do not treat		\| [[BV]] \|\| Treat \|\| Do not treat \|\| No, unless persistent symptoms \|\| No
	\|-		\|-
	\| [[Vaginal candidiasis]] \|\| Treat \|\| Do not treat		\| [[Vaginal candidiasis]] \|\| Treat \|\| Do not treat \|\| No, unless persistent symptoms \|\| No
	\|-
	\| ~~[[Trichomoniasis]]~~ \|\| ~~Treat \|\| '''Treat'''~~
	\|-		\|-
			\| [[Trichomoniasis]] \|\| Treat \|\| '''Treat''' \|\| Yes (in 3 months). Recommend testing with NAAT. \|\| Yes
	\|}		\|}

2024-06-19T19:38:38Z

Treatment for Test-Positive Patients based on Organism and Symptomatology

← Revisión anterior		Revisión del 19:38 19 jun 2024
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	!Positive Organism !! Symptomatic !! Asymptomatic		!Positive Organism !! Symptomatic !! Asymptomatic
	\|-		\|-
	\| BV \|\| Treat \|\| Do not treat		\| [[BV]] \|\| Treat \|\| Do not treat
	\|-		\|-
	\| Vaginal candidiasis \|\| Treat \|\| Do not treat		\| [[Vaginal candidiasis]] \|\| Treat \|\| Do not treat
	\|-		\|-
	\| Trichomoniasis \|\| Treat \|\| '''Treat'''		\| [[Trichomoniasis]] \|\| Treat \|\| '''Treat'''
	\|-		\|-
	\|}		\|}

2024-06-19T19:35:15Z

Management

← Revisión anterior		Revisión del 19:35 19 jun 2024
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	==Management==		==Management==
	*~~Treat~~ infectious ~~etiologies based on wet mount, PCR~~, ~~and culture results as indicated~~		===Empiric Treatment===
			*Acceptable when clinically suspecting [[BV]], [[vaginal candidiasis]], or a non-infectious etiology
			*If signs/symptoms are equivocal for a specific diagnosis or if they suggest possible [[trichomoniasis]], diagnostic testing should first be performed prior to treatment.

			===Non-Infectious Etiology Treatment===
	*Hygienic measures for non-specific vulvovaginitis particularly in pre-pubertal females		*Hygienic measures for non-specific vulvovaginitis particularly in pre-pubertal females
	*OTC Vaginal lubrication products for post-menopausal women with vulvovaginal atrophy symptoms <ref> Alvisi S, Gava G, Orsili I, Giacomelli G, Baldassarre M, Seracchioli R, Meriggiola MC. Vaginal Health in Menopausal Women. Medicina (Kaunas). 2019 Sep 20;55(10):615. doi: 10.3390/medicina55100615. PMID: 31547180; PMCID: PMC6843679. </ref>		*OTC Vaginal lubrication products for post-menopausal women with vulvovaginal atrophy symptoms <ref> Alvisi S, Gava G, Orsili I, Giacomelli G, Baldassarre M, Seracchioli R, Meriggiola MC. Vaginal Health in Menopausal Women. Medicina (Kaunas). 2019 Sep 20;55(10):615. doi: 10.3390/medicina55100615. PMID: 31547180; PMCID: PMC6843679. </ref>

2024-06-19T19:30:15Z

Treatment for Test-Positive Patients based on Organism and Symptomatology

← Revisión anterior		Revisión del 19:30 19 jun 2024
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	\| Vaginal candidiasis \|\| Treat \|\| Do not treat		\| Vaginal candidiasis \|\| Treat \|\| Do not treat
	\|-		\|-
	\| Trichomoniasis \|\| Treat \|\| Treat		\| Trichomoniasis \|\| Treat \|\| '''Treat'''
	\|-		\|-
	\|}		\|}