Infektološki glasnik, Vol. 30 No. 3, 2010.
Izvorni znanstveni članak
Importance, incidence and treatment of bacterial vaginosis during pregnancy
Zlatko Topalović
; Dom zdravlja Zagreb-Centar, Zagreb, Hrvatska
Sažetak
The paper aims to examine bacterial vaginosis (BV) as one of the possible causes of premature rupture of membranes and preterm delivery in order to improve the overall perinatal outcome by further reducing the perinatal mortality rate. In the Republic of Croatia this rate equalled 4.6 ‰ in 2008 and has been on a downward trend ever since 2001. BV is the most frequent cause of increased discharge that is not accompanied by other inflammation symptoms, such as burning and itching, and it causes no urinary problems. The diagnosis is made through speculum examination according to Amsel's criteria, and metronidazole is the drug of choice for treatment in the second and third trimester of pregnancy. This paper presents an epidemiological study conducted on 123 pregnant women at the gynaecology department of the Health Centre Zagreb. The study showed that the overall incidence of BV was 21.14% (26 subjects), of whom 17 subjects (13.82%) had symptomatic BV and 9 subjects (7.31%) had asymptomatic BV. According to the CDC guidelines, pregnant women with symptomatic BV were treated with metronidazole in the second and third trimester of pregnancy, while asymptomatic patients who were not at high risk for preterm delivery were therefore not treated.
Ključne riječi
bacterial vaginosis; incidence; diagnostic criteria; treatment; prevention; preterm delivery
Hrčak ID:
63700
URI
Datum izdavanja:
30.9.2010.
Posjeta: 2.693 *