AccessMyLibrary provides FREE access to over 30 million articles from top publications available through your library.
Create a link to this page
Copy and paste this link tag into your Web page or blog:
Recurrent vaginitis: beat it back, then suppress it. (Intermittent Antimicrobial Therapy).
INDIANAPOLIS -- A key concept in dealing with women with recurrent vaginitis is to treat until they are asymptomatic and then suppress with intermittent antimicrobial therapy, according to Dr. David Soper, a vaginitis expert.
"They need to recognize this is not a cure. At this point there is no cure for these people. This is just control of their symptoms," he said at the annual meeting of District V of the American College of Obstetricians and Gynecologists.
Recurrent bacterial vaginosis (BV) can be characterized by the patient's inability to recolonize herself sufficiently with protective vaginal lactobacilli, said Dr. Soper, professor of obstetrics, gynecology, and infectious diseases at the Medical University of South Carolina, Charleston.
"Not everyone with .BV is totally deficient in these bacteria--a substantial proportion of these patients do have lactobacilli--they just have low concentrations. But many of these patients, if not most of them, cannot regrow their lactobacilli, and these are the patients who are going to be at risk for recurrence," he said in an interview.
Patients in this category should be given suppressive therapy aimed at reducing the risk of recurrence and keeping them in an asymptomatic state. Dr. Soper suggested that most patients will remain asympromatic whenput on this regimen: metronidazole gel (0.75%, for 10 days), followed by twice weekly applications for 3 months.
One study showed that this regimen kept 83% of patients symptom free, compared with 33% who were symptom free on placebo. "You are not interested in these recurrent patients normalizing their vaginal flora under the microscope because this is not going to happen until they become recolonized with ...
- Patient data, early SARS epidemic, Taiwan.(Dispatches)
- Magazine article from: Emerging Infectious Diseases Hsueh, Po-Ren Chen, Pei-Jer Hsiao, Cheng-Hsiang Yeh, Shiou-Huei Cheng, Wern-Cherng Wang, Jiun-Ling Chiang, Bor-Luen Chang, Shan-Chwen Chang, Feng-Yee Wong, Wing-Wai Kao, Chuan-Liang Yang, Pan-Chyr March 1, 2004 700+ words
...an airplane (Figure 1B). Patient 9 did not fly with the four patients but had contact with them in...bacteremia also occurred in patient 9. One of the patients who received ventilator support (patient 2) had concomitant bacterial...
- Patient records in the information age. (Perspectives )
- Magazine article from: Issues in Science and Technology Detmer, Don E. Steen, Elaine B. March 22, 1993 700+ words
...per year. Second, patient records include more data as patients live longer, experience...the demand for patient data is increasing...procedures. The users of patient data include not...delivery system. Patients themselves are increasingly...
- PATIENT ASSESSMENTS SHOW EXCELLENT RESULTS IN HCA PSYCHIATRIC COMPANY STUDY
- Press release article from: PR Newswire September 9, 1992 700+ words
...simultaneously track patients' judgments of their...clinical assessment of the patient's ability to function...November 1991. The patients were adult psychiatric and chemical dependency patients. The patient ratings of their hospital...
- Patient centered long-term care.(Patient Centered Care)
- Health Care Financing Review Miller, Nancy A. December 22, 1997 700+ words
...that attends to patients' desires and concerns...has focused on the patient's preferences...national survey of patients that assessed their...experiences based on these patient-identified care...physicians' and patients' perspectives for...evidence that a patient's perspective...
- Patients' perceptions of emotional support and information provided to family...
- Magazine article from: AORN Journal Majasaari, Hilkka Sarajarvi, Anneli Koskinen, Helena Autere, Sinikka Paavilainen, Eija May 1, 2005 700+ words
...develop tools for patient and family member...EFFECTS OF SURGERY ON PATIENTS AND THEIR FAMILY...being not only of the patient but also of his or...well-being of a patient in the hospital. (13-16) Patients who are undergoing...
- Patient Satisfaction Planner: Hands across the hospital: Handling...
- Newspaper article from: Hospital Peer Review December 1, 2001 700+ words
...of the international patient. Patients can elect to pay for...service One international patient is like having 10 domestic patients, she says. Its not...five Arabic-speaking patient coordinators who accompany patients to their appointments...
- Patient-Centered Care: It's About Time
- Magazine article from: American Journal of Pharmaceutical Education Berger, Bruce A September 1, 2009 700+ words
...paternalistic model of care in which patients are told what to do and failure is attributed to the patient's actions, not their own. A more...patient-centered model in which patients are also experts. . .experts on...
- Patient safety in nursing practice.(AHRQ COMMENTARY)(Report)
- Magazine article from: AORN Journal Farquhar, Marybeth Sharp, Beth A. Collins Clancy, Carolyn M. September 1, 2007 700+ words
...responsible for up to 98,000 patient deaths in hospitals...emotional costs for patients, their families, and...nation offering direct patient care, are vital to...and other positive patient outcomes, although...another critical source: patients themselves. The Consumer...