[The practice guideline 'Vaginal discharge' (first revision) from the Dutch College of General Practitioners; a response from the perspective of gynaecology].
The Dutch College of General Practitioners (NHG) revised their practice guideline on vaginal discharge. From a gynaecological point of view, relocation of cervix problems from this guideline to the NHG guideline 'The STD consultation' is not practical. Moreover, the role of simple, but effective diagnosis with a microscope in the primary-care setting cannot be overemphasized. The reluctance to oral treatment is rather inopportune, because once-only ingestion has the advantage of promoting compliance. As physical examination is not always necessary in a recurrent Candida infection, treatment performed by the patient with imidazole compounds is a possibility that does not always result in abuse or increased resistance.
Hogewoning
C J A
CJ
Albert Schweitzer Ziekenhuis, afd. Gynaecologie, Postbus 444, 3300 AK Dordrecht. c.j.a.hogewoning@tiscali.nl
Ottervanger
H P
HP
Adriaanse
A H
AH
Trum
J W
JW
D000935:Antifungal Agents / Q000627:therapeutic use*; D002181:Candidiasis, Vulvovaginal / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology / Q000473:pathology; D005260:Female; D006176:Gynecology / Q000592:standards*; D006801:Humans; D009426:Netherlands; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians'; D055502:Secondary Prevention; D019522:Vaginal Discharge / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology / Q000473:pathology
D000935:Antifungal Agents