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001 OB 2013 0006
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008 160505b2013 xxu||||| |||| 00| 0 eng d
040 _beng
_cFEU-NRMF MEDICAL LIBRARY
_erda
041 _aenglish
050 _aOB 2013 0006
245 _aEfficacy of dequalinium vaginal suppository in the treatment of bacterial vaginosis compared with standard metronidazole oral regimen :
_ba randomized controlled trial /
_cAngela Eulalia Maling-Rugay, Romerico F. Torres and Lylah D. Reyes.
260 _aFairview, Quezon City:
_bDepartment of Obstetrics and Gynecology, FEU-NRMF
_c2013.
300 _a45 pages:
_billustrations, tables;
_c(in folder).
336 _atext
_2rdacontent
337 _aunmediated
_2rdamedia
338 _avolume
_2rdacarrier
504 _aIncludes appendices and bibliographical references.
520 _aAbstract: The standard treatment for bacterial vaginosis is metronidazole. Side effects are not well tolerated by some patients and some develop resistance. Hence the search for treatment with less side effects and less resistance. To determine the efficacy of vaginal dequalinium chloride compared to oralmetronidazole in the treatment of bacterial vaginosis among non pregnant women. Fourty non-pregnant women and non-lactating women, 18-50 years old diagnosed with bacterial vaginosis by presence of vaginal discharge and malodor, Nugent's score of 4 and above, and clue cells seen in Gram stain, were randomly allocated to treatment groups. Group A received dequalinium chloride 10mg/vaginal tablet for 6 days at HS while Group B received metronidazole tablet, 500mg/tablet, 1 tablet per orem BID for 7 days. Microbiologic, clinical and complete cure rate as well as adverse effects of treatment were then assessed. Data entry and encoding was done using Epi info version 6. Analysis was done using stata version 9. Univariate analysis such as mean, median, mode and range were used to describe the characteristics of the subjects. Frequency distribution was used to describe the proportion of patients with microbiologic, clinical and complete cure. This was also used in describing proportion of the participants' acceptability in this study. Chi square will be used for comparison of dequalinum chloride and metronidazole between treatment-arms. Ninety five percent (19/20) of those in the dequalinium arm had gram-negative coccobacilli count of less than 10/hpf as compared to 80% (16/20) among those in the contol (p < 0.03). Lacbacilli was only restored among 25% of those in the metronidazole the and in 75% of the control group (p= 0.002). Reduced amount of discharge was observed in all participants in both two groups. Malodor of the discharge disappeared in 95% (19/20) of the H202 and 85% (17/20) of the control group (p=0.30). Dequalinium is comparable with the standard treatment. It is at par with the standard treatment in alleviating symptoms of bacterial vaginosis and reducing estimated coccobacilli. It is more effacious in restoring the normal flora.
521 _aRESDOG
650 _abacterial vaginosis
650 _adequalinium chloride
650 _ametronidazole
650 _agardnella vaginalis
650 _aprovetella species
650 _amycoplasma hominis
650 _amobolincus
650 _afusobacterium
700 _aMaling-Rugay, Angela Eulalia, MD.
_eprincipal investigator
700 _aTorres, Romerico F., MD.
_eco-author
700 _aReyes, Lylah D., MD.
_esupervising investigator
942 _2lcc
_cRU