Dapots

Disease Etiology Characteristic Treatment Additional Infos

Bacterial - Gardnella - Increased clue cells, >20% of the - Metronidazole 500 mg 2x a - Risk for PID
vaginosis vaginitis epithelial cells are clue cells day oral for 7 days
- Mycoplasma (clue cells  epithelial cells that - Clindamycin 300 mg 2x a
hominis have had bacteria adhere to their day oral for 7 days
surface)
- Decreased leukocytes
- Fishy vaginal odor
- Vaginal secretion are fray and
thinly coat the vaginal walls
- pH >4.5 (usually 4.7 – 5.7)
- Whiff test (KOH) to the vaginal
secretions release a fishy,
aminelike odor
- Absent of lactobacilli in vaginal
secretion
Trichomoniasis - Flagellated - Profuse, purulent, malodorous - Metronidazole : - Often accompanies BV
(Trichomonas Trichomonas vaginal discharge  Single-dose : 2g oral - Risk for premature rupture
vaginitis) vaginalis - Vulvar pruritus  Multi : 500 mg 2x a of the membranes and
- Strawberry cervix day for 7 days preterm delivery
- pH >5.0
- Increased leukocytes
- Clue cells bisa aja ada karena
sering berbarengan dengan BV
Vulvovaginal - Candida - Symptomatic (increased number - Fluconazole single dose of - Yg at risk : antibiotic users,
candidiasis albicans (90%) of bacteria >104 mL) 150 mg pregnancy, diabetes
- C. glabrata - Asymptomatic (<103 mL) - Recurrent (4 or more
- C. tropicalis - Cottage cheese episodes in a year) 
- Vulvar pruritus Fluconazole 150 mg every 3
- Vaginal soreness, dyspareunia, day for 3 doses, dimaintain
vulvar burning, irritation & menjadi 150 mg weekly for
external dysuria, erythematous 6 months)
with an adherent, whitish
discharge; cervix appears
normal
- pH 4-4,5  Asam
- Ditemukan fungal elements;
budding yeast or mycelia
- Whiff test negative
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