Managing Bacterial Vaginosis and Cervicitis
Author Information
Author(s): Jane R. Schwebke, Mary Beth Schulien, Mark Zajackowski
Primary Institution: Chicago Department of Health and Northwestern University Medical School
Hypothesis
Does treating cervicitis alone resolve bacterial vaginosis in women?
Conclusion
Simultaneous treatment of bacterial vaginosis and cervicitis is necessary to effectively eradicate bacterial vaginosis.
Supporting Evidence
- 95% of women treated with doxycycline alone had persistent bacterial vaginosis.
- Only 14% of women treated with doxycycline and metronidazole had persistent bacterial vaginosis.
- The study suggests that treating both conditions is necessary for effective management.
Takeaway
If a woman has both bacterial vaginosis and cervicitis, treating both is important to get rid of the infection.
Methodology
Women with bacterial vaginosis and cervicitis were treated with doxycycline alone or doxycycline plus metronidazole, and outcomes were assessed after 3-4 weeks.
Potential Biases
Potential bias due to noncompliance and lack of blinding.
Limitations
The study had a small sample size and was conducted in a single clinic.
Participant Demographics
All participants were women attending an inner-city STD clinic, predominantly African American.
Statistical Information
P-Value
<0.001
Statistical Significance
p<0.001
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