Re: sistant Trich?

From: Joanne Bulley (islesannie@yahoo.com)
Tue Apr 24 00:36:02 2001


Thanks - sounds like a good approach. This couple have not had intercourse since January! they are talking about not even sleeping in the same bed after all this! Right now we are trying the longer course.

Will keep you posted!

Joanne At Tue, 24 Apr 2001, Rafael Haciski MD wrote: >
>I have had several of these "resistant" infections in the past - all
>resolved with persistent treatment.
>
>Suggested approach:
>..diagnose and treat per usual
>..no intercourse in interim
>..see patient at conclusion of treatment
>
>At that time I will see trich again, although in much lesser numbers. If
>that is the case then proceed to
>..Metronidazole douche or vaginal gel preparations
>..longer course of oral Metronidazole
>
>Each of my 2 or three cases resolved with this approach.
>
>Based on these few numbers, it is my feeling that these are most likely
>partial/incomplete treatments, and not resistant organisms, as they have
>responded to longer regimen.
>
>--
>Rafael Haciski, MD FACOG
>Gynecology & Infertility Assoc.
>Baltimore MD
>http://www.ivf-md.com
>

--
Joanne Bulley, MD, FACOG
Keene, NH, USA




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