Page 108 - HPP ANTIMICROBIAL GUIDELINE 2018
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Suggested Treatment
Infection/ Condition Comments
Preferred Alternative
Vaginitis Metronidazole 400mg PO q8h Clindamycin 300mg PO q12h Metronidazole can be use in any
Bacterial vaginosis stage of pregnancy
Duration of treatment is 7 days
Vaginal Candidiasis
Uncomplicated Clotrimazole 500mg as a single Fluconazole 200mg PO for one dose Pregnancy:
vaginal pessary (Stat dose)
Treat with topical therapy if
OR indicated as oral therapy is
Clotrimazole 200mg as vaginal CONTRAINDICATED
pessary for 3 nights
Clotrimazole 500mg vaginal
Complicated infection Fluconazole 200mg PO q72h for 3 suppository once weekly for 6 months
1. Severe vaginitis symptoms doses then weekly for 6 months
2. Recurrent vulvovaginal candidiasis
Trichomoniasis Metronidazole 400mg PO q8h for Metronidazole 2gm PO as single dose Not advisable to breastfeed
Trichomonas vaginalis 7 days during treatment. May resume
breastfeeding after 24 hrs of the
last dose
Cervicitis Azithromycin 1g PO single dose Doxycycline 100mg PO q12h for
7 days
HPP AMG Obstetrics & Gynaecological Infections 49
