Question
DOC for bacterial vaginosis in pregnancy
| A. |
Clindamycin |
| B. |
Erythromycin |
| C. |
Rovamycin |
| D. |
Metronidazole |
Show Answer
|
Correct Answer » D Explanation |
 |
- Bacterial vaginosis (BV)is caused by:
- Overgrowth of anaerobes (e.g., Gardnerella vaginalis)
- Treatment aims to eradicate anaerobic bacteria
Metronidazole
-
- First-line drug for BV
- Effective against anaerobes
- Safe in pregnancy (especially after first trimester; now widely considered safe overall)
Explanation of Other Options
- A. Clindamycin
- Alternative drug
- Used if metronidazole not tolerated
- B. Erythromycin
- Not used for BV
- Ineffective against typical BV organisms
- C. Rovamycin (Spiramycin)
- Used in toxoplasmosis in pregnancy
- Not for BV
Bacterial Vaginosis
- Cause: Gardnerella + anaerobes
- Features:
- Thin, gray discharge
- Fishy odor (positive whiff test)
- Clue cells
- Treatment:
- DOC → Metronidazole
- Alternative → Clindamycin
- Pregnancy point:
- BV associated with:
- Preterm labor
- PROM
- BV associated with: