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Obstetric and Gynecological Nursing - The Carter Center

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- Clotrimazole pessaries - 100 mg for 6 nights or 200 mg<br />

for 3 nights<br />

- with clotrimazole cream (1%) applied to uvlval two or<br />

three times daily<br />

- Miconazole pessaries (supp) 150 mg for 3 nights<br />

- Nystatin gel for external use 100,000 liu/g<br />

Signs of clinical infection in a man, usually small red spots or<br />

plaques on the glans penis, should be treated with cream<br />

applied to the infected area.<br />

Generally it is advised that sexual intercourse be avoided until<br />

after treatment is complete, perhaps to avoid local irritation<br />

which might provoke re-infection.<br />

12.4 Trichomoniasis<br />

Trichomoniasis is an infection of the lower genital trait in men<br />

<strong>and</strong> women <strong>and</strong> is caused by an anearobic, motile protozoan<br />

trichoman vaginalis. It is categorized as a sexually transmitted<br />

disease (STD) with its transmission felt to be principally by<br />

direct intimate contact.<br />

Trichomoniasis vaginalis is significant because of the sever<br />

vaginitis <strong>and</strong> its common association with other sexually<br />

transmitted infections, particularly Neisseria gonorrhea <strong>and</strong><br />

Chlamydia trachomatis.<br />

268

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