Primary prevention
Your Organisational Guidance
ebpracticenet urges you to prioritise the following organisational guidance:
Vulvovaginitis en vaginosePublished by: Werkgroep Ontwikkeling Richtlijnen Eerste Lijn (Worel)Last published: 2017Vulvovaginite et vaginosePublished by: Groupe de Travail Développement de recommmandations de première ligneLast published: 2017Avoiding douching and irritants such as strong soaps or bubble baths can help prevent vaginitis. Male condoms may help prevent spread of infection. Lactobacillus acidophilus supplements in the diet may help to prevent recurrence of infectious vaginitis.[21]
Secondary prevention
In bacterial vaginosis, treatment of sexual partners is not recommended.
Women who have bacterial vaginosis or trichomoniasis, and who are also HIV-positive, should receive the same treatment regimen as those who are HIV-negative.[4]
Sexual partners of individuals with Trichomonas vaginalis should be treated and offered screening for other STIs. Individuals should avoid sex until they and their sexual partners are cured, or should at least use condoms.
Vulvovaginal candidiasis is not usually acquired through sexual intercourse; treatment of sexual partners is not recommended, but should be considered in women who have recurrent infection. If a male sexual partner presents with symptoms (e.g., irritation), these may be managed with topical agents.[4]
Bacterial vaginosis and candidiasis are not typically sexually transmitted; however, they may occur concomitantly with STIs (e.g., gonorrhoea and chlamydial infections) and therefore it is recommended to screen for STIs in all women with infective vaginitis. To aid the delivery of STI testing services, the World Health Organization recommends self-collection of samples as an option to test for N gonorrhoeae and C trachomatis and, where appropriate, T pallidum and T vaginalis.[23] The UK National Health and Care Excellence also recommends remote self-sampling be offered as an alternative to clinic attendance to improve uptake and frequency of STI testing.[24]
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