Bakteriell vaginose: Diagnostikk
Symptomene er sjelden særlig uttalte, og tilstanden er uten symptomer hos mer enn halvparten. Utflodens lukt og karakteristiske utseende er ofte nok til å stille diagnosen. I tillegg kan legen utføre noen enkle tester av utfloden som bekrefter diagnosen, dersom det er tvil. En av disse er måling av pH-verdi i utfloden. Dyrkningsprøve av bakteriene brukes ikke, fordi de aktuelle bakteriene ofte kan finnes hos kvinner som ikke har sykdommen.
Annonse
Dette dokumentet er basert på det profesjonelle dokumentet Bakteriell vaginose . Referanselisten for dette dokumentet vises nedenfor
Referanser
- Romøren M, Juvkam KH, Moi H. Bakteriell vaginose. Lindbæk M (red). Nasjonale faglige retningslinjer for antibiotikabruk i primærhelsetjenesten. Oslo: Helsedirektoratet, sist oppdatert 12.2016.
- Allsworth JE, Peipert JF. Prevalence of bacterial vaginosis: 2001-2004 National Health and Nutrition Examination Survey data. Obstet Gynecol 2007; 109: 114. PubMed
- Kairys N, Garg M. Bacterial Vaginosis. 2020 Jul 10. In: StatPearls Internet. Treasure Island (FL): StatPearls Publishing; 2020 Jan–. PMID: 29083654.
- Yen S, Shafer MA, Moncada J, et al. Bacterial vaginosis in sexually experienced and non-sexually experienced young women entering the military. Obstet Gynecol 2003; 102: 927. PubMed
- Paavonen J, Brunham RC. Bacterial Vaginosis and Desquamative Inflammatory Vaginitis. N Engl J Med 2018; 379: 2246-54. doi:10.1056/NEJMra1808418 DOI
- Vodstrcil LA, Hocking JS, Law M, et al. Hormonal contraception is associated with a reduced risk of bacterial vaginosis: a systematic review and meta-analysis. PLoS One. 2013;8 :e73055. doi: 10.1371/journal.pone.0073055. eCollection 2013.
- Peebles K, Velloza J, Balkus JE et al. High Global Burden and Costs of Bacterial Vaginosis: A Systematic Review and Meta-Analysis. Sex Transm Dis. 2019 May;46(5):304-311. PMID: 30624309.
- Marrazzo JM, Antonio M, Agnew K, Hillier SL. Distribution of genital Lactobacillus strains shared by female sex partners. J Infect Dis 2009; 199: 680. PubMed
- Deese J, Pradhan S, Goetz H, Morrison C. Contraceptive use and the risk of sexually transmitted infection: systematic review and current perspectives. Open Access J Contracept. 2018 Nov 12;9:91-112. PMID: 30519127 PubMed
- Amsel R, Totten PA, Spiegel CA, Chen KC, Eschenbach D, Holmes KK. Nonspecific vaginitis. Diagnostic criteria and microbial and epidemiologic associations. Am J Med 1983; 74:14-22. PubMed
- Lowe NK, Neal JL, Ryan-Wenger NA. Accuracy of the clinical diagnosis of vaginitis compared with a DNA probe laboratory standard. Obstet Gynecol 2009; 113: 89-95. PubMed
- Nodenes K, Gammelsrud KW, Findal-Drammen G. Bakteriell vaginose. Veielder i fødselshjelp. Norsk gynekologisk forening. Oslo, 2020 www.legeforeningen.no
- Brocklehurst P, Gordon A, Heatley E, Milan SJ. Antibiotics for treating bacterial vaginosis in pregnancy. Cochrane Database of Systematic Reviews 2013, Issue 1. Art. No.: CD000262. DOI: 10.1002/14651858.CD000262.pub4. DOI
- Amaya-Guio J, Viveros-Carreño DA, Sierra-Barrios EM, Martinez-Velasquez MY, Grillo-Ardila CF. Antibiotic treatment for the sexual partners of women with bacterial vaginosis. Cochrane Database of Systematic Reviews 2016, Issue 10. Art. No.: CD011701. DOI: 10.1002/14651858.CD011701.pub2 DOI
- Mendling W, Weissenbacher ER, Gerber S, et al. Use of locally delivered dequalinium chloride in the treatment of vaginal infections: a review. Arch Gynecol Obstet 2016; 293: 469-84. pmid:26506926 PubMed
- Myrhaug HT, Brurberg KG, Kirkehei I og Reinar LM. Klindamycin til gravide med asymptomatisk bakteriell vaginose . Rapport fra Kunnskapssenteret nr 11 - 2010.
- Subtil D, Brabant G, Tilloy E et al. Early clindamycin for bacterial vaginosis in pregnancy (PREMEVA): a multicentre, double-blind, randomised controlled trial. Lancet 2018. pmid:30322724 PubMed
- Senok AC, Verstraelen H, Temmerman M, Botta GA. Probiotics for the treatment of bacterial vaginosis. Cochrane Database of Systematic Reviews 2009, Issue 4. Art. No.: CD006289. DOI: 10.1002/14651858.CD006289.pub2 DOI
- Huang H, Song L, Zhao W. Effects of probiotics for the treatment of bacterial vaginosis in adult women: a meta-analysis of randomized clinical trials. Arch Gynecol Obstet. 2014 ;289(6):1225-34. doi: 10.1007/s00404-013-3117-0.
- Larsson PG, Stray-Pedersen B, Ryttig KR, Larsen S. Human lactobacilli as supplementation of clindamycin to patients with bacterial vaginosis reduce the recurrence rate; a 6-month, double-blind, randomized, placebo-controlled study. BMC Womens Health 2008; 8: 3. PubMed
- Bradshaw CS, Morton AN, Hocking J, et al. High recurrence rates of bacterial vaginosis over the course of 12 months after oral metronidazole therapy and factors associated with recurrence. J Infect Dis 2006; 193: 1478. PubMed