Term
| What is the causative agent for trichomoniasis? |
|
Definition
| flagellate protozoan Trichomonas Vaginalis |
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Term
| How is trich transmitted? |
|
Definition
| penis-to-vagina or vulva-to-vulva contact |
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Term
|
Definition
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|
Term
| What are the characteristics of trich? |
|
Definition
dysuria, dyspareunia; discharge: thick/thin copious, malodorous, frothy/non-frothy, white/yellow-green/gray, pruritis; possible post-coital bleeding
40-85% asymptomatic |
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|
Term
| Differential Dx for trich? |
|
Definition
| vulvovaginal candidiasis, BV, gonorrhea, chlamydia, trich |
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Term
| Clinical features of trich? |
|
Definition
| strawberry cervix & vagina, vulvar & vaginal erythema; copius malodorous (fishy) discharge that may be thin, yellow-green, and frothy. +whiff. pH>4.5. |
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Term
|
Definition
| trichomonads on saline wet mount, pH>4.5, +whiff. Vaginal/endocervical or urine culture also possible. |
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Term
|
Definition
| Metronidazole 2g PO in 1 dose, OR tinidazole 2 g PO in 1 dose. Alternative: Metronidazole 500mg PO BID x 7 days. |
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Term
| Patient education after trich dx |
|
Definition
| No sex until asymptomatic. No EtOH during tx & for 24 hours after metronidazole (72 hrs for tinidazole). Treat partner! |
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Term
|
Definition
| No TOC. May rescreen @ 3 months. |
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|
Term
| Pregnancy: adverse outcomes |
|
Definition
| PROM, preterm delivery, LBW |
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Term
|
Definition
| Metronidazole safe at any time during pregnancy. Asymptomatic, can defer tx until >37w. |
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Term
| Breastfeeding & treatment |
|
Definition
| Withhold breastfeeding in the same pattern as no EtOH during tx. (none during tx, not for 24 h after metronidazole, not for 72 h after tinidazole) |
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Term
|
Definition
| tubal infertility, cervical neoplasia, post-hysterectomy cellulitis, increased transmission of HIV |
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