Trichomonas vaginalis

From WikEM
Jump to: navigation, search

Background

  • Considered an STI
  • Associated with preterm birth, PID, cervical cancer, increased transmission of other STIs

Clinical Features

  • Yellow, malordorous discharge
  • Vaginal erythema or edema

Differential Diagnosis

Vulvovaginitis

Sexually transmitted diseases

Evaluation

  • Wet mount shows mobile trichomonads

Management

Non-Pregnant

Pregnant

  • Only treat if the patient is symptomatic and avoid breast feeding until 24hrs after last Metronidazole treatment and 72hrs after Tinidazole
  • Metronidazole 2g PO once

Sexual Partner Treatment

Women with HIV Infection

  • Metronidazole 500 mg PO BID x 7 days[1]

Disposition

  • Outpatient

See Also

References

  1. CDC. Sexually transmitted diseases treatment guidelines. MMWR Recomm Rep 2010;59(No. RR-12)