Page 109 - HPP ANTIMICROBIAL GUIDELINE 2018

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