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Re: Resistant Trich? From: Richard Chudacoff, MD (rchudacoff@mylinuxisp.com) Tue Apr 24 17:35:26 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Efrain Ramirez: "Re: Osteoporosis" Previous message: Joanne Bulley: "Re: coding" In reply to: Joanne Bulley, MD: "Resistant Trich?" We discussed this about 9 months ago for a patient of mine who was pregnant. Turns out she wasn't changing her underwear often and did not rinse out the bathtub after her bathing. Once hygiene was explained, the Trich was cured. Rick -- Richard Chudacoff, MD -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net]On Behalf Of Joanne Bulley, MD Sent: Monday, April 23, 2001 10:28 PM To: Multiple recipients of list OB-GYN-L Subject: Resistant Trich? I have a 45-ish patient who was treated for trichomonas in late February - she & spouse - with 2gm metronidazole po. Back into office in early April - no sex (husband seeing uro for a problem) still has trich - 2 gm metronidazole to each given again. Back in office today - still has trich.... The MMWR says to give metronidazole 500 mg twice daily for 7 days if the one time dose doesn't work - then 2 gm daily x 3-5 days if that doesn't work - and if THAT doesn't work to call the CDC! the patient asked if we could get her insurance company to pay for her to go to Atlanta to the CDC rather than sending a specimen! Any experience or suggestions WELCOME!!! I think I jinxed myself - I had recently said I hadn't seen trich in so long on a wet mount that I didn't know if I would recognize it!!!! Thanks Joanne -- Joanne Bulley, MD Keene, NH, USA Next message: Efrain Ramirez: "Re: Osteoporosis" Previous message: Joanne Bulley: "Re: coding" In reply to: Joanne Bulley, MD: "Resistant Trich?"

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