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Prescription drugs for vaginal bacterial infections

Both drugs can be taken as an oral pill, or using a topical cream or gel inserted into the vagina. Oral medication may be more practical, but it can cause more side effects.

If the symptoms of bacterial infections improve after treatment, you may not need to be followed up.

One of the most effective treatments for bacterial vaginosis is the use of metronidazole gel. It is used in the vagina for five days before bedtime. It can also be taken in pill form. The recommended dose is 500 mg twice a day for 7 days. The choice of the pill against the use of vaginal gel depends on the patient's preference. In summary, there are fewer side effects with vaginal treatment.

A temporary decrease in blood count, nausea and a metallic taste are some of the known side effects of oral metronidazole. If you choose to take metronidazole tablets, you should avoid drinking alcohol because of the risk of a very serious contraindication that can lead to low blood pressure, dizziness, chest pain, and palpitations. Thirst, nausea and hot flashes. Oral metronidazole pills are known to have warfarin contraindications, which may increase the risk of bleeding. In contrast, metronidazole vaginal gel is not known to cause side effects.

Clindamycin is a cream that is inserted into the vagina for 7 days before bed. A 1-day vaginal cream based on clindamycin and a 3-day vaginal egg are also available. The use of clindamycin cream should not be used with latex condoms due to the likelihood of condom breakage. This medication can also be taken orally. The recommended dose is 300 mg twice a day for 1 week.

It is not necessary to cure a woman's sexual partner with vaginal bacterial infections. Treatment of the sexual partner cannot improve the woman's symptoms or reduce the risk of re-infection.

It is estimated that around 30% of women who initially improved after treatment had recurrent symptoms of bacterial vaginosis within 3 months and more than 50% of this population had recurrent BV symptoms one year later. It is not yet known why this is the case. However, it was believed that there were bacteria that had not been fully treated before, or that adequate amounts of beneficial bacteria called Lactobacilli were lacking to counteract the harmful effects of Lactobacilli BV causing bacterial strains.

Clinical overview of acquired immune deficiency syndrome (AIDS)

AIDS is caused by the human immunodeficiency virus (HIV) type I (HIV-1). HIV-1 primarily infects CD-4 + T cells. The exhaustion of CD4 + lymphocytes leads to an immune deficiency. The clinical picture of AIDS is the final stage of HIV infection and its manifestation with a variety of clinical disorders. Most of them are not specific.

Clinical manifestation of HIV infection in children 1. Persistent generalized lymphadenopathy. It is one or more nodes with a size of more than 1 cm and a stock of more than one month (the enlargement of the auxiliary lymph nodes is particularly important).

2. Persistent hepatomegaly. It is an enlarged liver that has been recorded for 3 months or more.

3. Persistent splenomegaly. It is the enlargement of the spleen, recorded for 3 months and more.

4. Persistent diarrhea. In such a situation, the stool is three times a day for more than a month.

5. Fever. The temperature would be 38 degrees Celsius for 4 weeks and more, 2 or more episodes of dark fever.

6. Persistent enlargement of the salivary glands. This happens for 3 months and longer.

7. Thrombocytopenia. It is less than 100,000 platelets per ml of blood. This can happen twice or more.

8. Severe bacterial infections. Two or more episodes of exacerbation or chronic infection (longer than 3 days despite treatment).

9. Developmental lag. Advances in hypotrophy and encephalopathy.

10. Persistence of recurrent oral candidiasis / This clinical situation lasts 2 months or more or recurs after meals.

11. Cardiomyopathy. Multiple symptoms and signs of heart failure.

12. Nephropathy. Nephrotic syndrome (proteinuria, hypalbuminemia, hyperlipidemia, hypercholesterolemia, edema, etc.)

The typical case of pediatric HIV infection is a child born to an at-risk mother who develops recurrent bacterial infections, thrush, growth disorders, lymphadenopathy and hepatosplenomegaly in the first few years of life. However, both those who become infected with HIV during the perinatal period and those who become infected with a transfusion infection cannot experience symptoms for several years.

Bacterial infections The type of infection is similar to that in patients with hypogammaglobulinemia. Encapsulated organism infections. Haemophilius influenzae type B, Streptococcus pneumoniae and enteric gram-negative rods are common and can cause chronic or recurrent meningitis. Malignant otitis externa, a disease that often occurs in the elderly. Other common diseases are dermatitis, an important pathogen. Salmonella infections can be very serious and lead to persistent gastroenteritis or bacteremia. Frequent relapses can occur.

Many of the common childhood infections occur in HIV-infected patients, but may be more serious. Oral thrush patients often experience extensive thrush if no prior antibiotic therapy has been given. The infection can spread to the larynx esophagus and is resistant to "usual forms of treatment". Viral diseases such as herpes simplex, chickenpox and measles can be very aggressive in children with HIV infection. Herpes simplex can cause prolonged or recurrent ulcers and chickenpox. can spread and cause pneumonia.

A unique feature of pediatric HIV infection is the development of parotitis, which can be chronic, has slow, regressive, painless growth, or is acute and associated with rapid enlargement, fever, and pain. The etiology is unknown.

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