A1 Refereed original research article in a scientific journal

Metronidazole combined with nystatin (vagitories) in the prevention of bacterial vaginosis after initial treatment with oral metronidazole




AuthorsPulkkinen P, Saranen M, Kaaja R

Publication year1993

JournalGynecologic and Obstetric Investigation

Journal name in sourceGynecologic and obstetric investigation

Journal acronymGynecol Obstet Invest

Volume36

Issue3

First page 181

Last page4

Number of pages4

ISSN0378-7346

DOIhttps://doi.org/10.1159/000292622


Abstract
In a double-blind trial comprising 66 patients we assessed the effect of metronidazole-nystatin vagitories on the prevention of bacterial vaginosis (BV) in women using IUD as a contraceptive method after an initial oral single dose of 2.0 g metronidazole and 7 days of intravaginal metronidazole-nystatin or placebo treatment. The prophylactic treatment consisted of metronidazole-nystatin or placebo vagitories applied at bedtime for 3 days after menstruation over 6 consecutive menstrual periods. The patients were randomized in two study groups: a treatment group of 32 patients (group A) and a placebo group of 34 patients (group B). The overall objective cure rate after the initial treatment was 97% in group A and 91% in group B. After 6 months of follow-up, the overall cumulative objective cure rate in group A was 100%, and 76% in group B. The single-dose oral treatment was well tolerated and no notable side effects were recorded.



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