title: Vaginitis. Reducing the number of refractory cases.
abstract: Therapeutic failure in vaginitis can be minimized if all cases are properly diagnosed and specific therapy is given. Use of wet mounts combined with liberal use of cultures, especially for Corynebacterium vaginale, should result in an accurate diagnosis in over 90% of cases. Treatment of choice for candidiasis is nystatin or miconazole nitrate applied topically. For trichomoniasis, metronidazole should be given orally to both sexual partners. Ampicillin, cephalexin, or cephradine are recommended for C vaginale infection.
mesh_terms: D000667:Ampicillin / Q000627:therapeutic use; D002181:Candidiasis, Vulvovaginal / Q000188:drug therapy; D003267:Contraception / Q000379:methods; D003354:Corynebacterium Infections / Q000188:drug therapy; D005260:Female; D006801:Humans; D008795:Metronidazole / Q000008:administration & dosage / Q000627:therapeutic use; D008825:Miconazole / Q000627:therapeutic use; D009181:Mycoses / Q000150:complications; D009761:Nystatin / Q000627:therapeutic use; D012725:Sexual Behavior; D014247:Trichomonas Vaginitis / Q000188:drug therapy; D014627:Vaginitis / Q000175:diagnosis / Q000188:drug therapy* / Q000382:microbiology
chemical_list: D009761:Nystatin; D008795:Metronidazole; D000667:Ampicillin; D008825:Miconazole