Page last updated: 2024-10-31

metronidazole and Vaginal Discharge

metronidazole has been researched along with Vaginal Discharge in 20 studies

Metronidazole: A nitroimidazole used to treat AMEBIASIS; VAGINITIS; TRICHOMONAS INFECTIONS; GIARDIASIS; ANAEROBIC BACTERIA; and TREPONEMAL INFECTIONS.
metronidazole : A member of the class of imidazoles substituted at C-1, -2 and -5 with 2-hydroxyethyl, nitro and methyl groups respectively. It has activity against anaerobic bacteria and protozoa, and has a radiosensitising effect on hypoxic tumour cells. It may be given by mouth in tablets, or as the benzoate in an oral suspension. The hydrochloride salt can be used in intravenous infusions. Metronidazole is a prodrug and is selective for anaerobic bacteria due to their ability to intracellularly reduce the nitro group of metronidazole to give nitroso-containing intermediates. These can covalently bind to DNA, disrupting its helical structure, inducing DNA strand breaks and inhibiting bacterial nucleic acid synthesis, ultimately resulting in bacterial cell death.

Vaginal Discharge: A common gynecologic disorder characterized by an abnormal, nonbloody discharge from the genital tract.

Research Excerpts

ExcerptRelevanceReference
" Significant reduction of malodorous vaginal discharge (whiff test) and lowest recurrence of BV were noted in the metronidazole plus lactic acid gel arm."5.12Metronidazole with Lactacyd vaginal gel in bacterial vaginosis. ( Co, JT; Dancel, LA; Decena, DC; Lelis, MA; Manalastas, RM; Padolina, CS; Palaypayon, EP; Sison, JM, 2006)
"A randomized controlled effectiveness trial compared single-dose tinidazole plus fluconazole (TF) with treatment for 7 days with metronidazole plus 3 days of treatment with vaginal clotrimazole (MC) among 1570 women presenting with vaginal discharge at primary health care institutions in Ghana, Guinea, Mali and Togo."5.12The syndromic management of vaginal discharge using single-dose treatments: a randomized controlled trial in West Africa. ( Agyarko-Poku, T; Asamoah-Adu, C; Deslandes, S; Diakité, S; Frost, E; Khonde, N; Labbé, AC; Pépin, J; Sobela, F; Sylla, M, 2006)
" The overall number of treatment-emergent adverse events (TEAEs) was 95 (29."2.87A Phase 3, Multicenter, Prospective, Open-Label Study to Evaluate the Safety of a Single Dose of Secnidazole 2 g for the Treatment of Women and Postmenarchal Adolescent Girls with Bacterial Vaginosis. ( Chavoustie, SE; Gersten, JK; Samuel, MJ; Schwebke, JR, 2018)
" Adverse events considered by the investigator to be related to study drug occurred in only 20."2.84A phase-3, double-blind, placebo-controlled study of the effectiveness and safety of single oral doses of secnidazole 2 g for the treatment of women with bacterial vaginosis. ( Koltun, W; Morgan, FG; Nyirjesy, P; Schwebke, JR, 2017)
" No serious adverse events were reported, and incidence was similar across treatment groups."2.80A Phase 3, Multicenter, Randomized, Double-Blind, Vehicle-Controlled Study Evaluating the Safety and Efficacy of Metronidazole Vaginal Gel 1.3% in the Treatment of Bacterial Vaginosis. ( Beelen, AP; Marrazzo, J; Schwebke, JR; Sobel, JD, 2015)
"Half of all women with bacterial vaginosis are free of symptoms, and treatment of these women is controversial."2.69Asymptomatic bacterial vaginosis: response to therapy. ( Schwebke, JR, 2000)
"Most patients with vulvovaginal candidiasis are diagnosed by the presence of vulvar inflammation plus vaginal discharge or with microscopic examination of vaginal secretions in 10 percent potassium hydroxide solution."2.47Vaginitis. ( Gibson, MV; Hainer, BL, 2011)

Research

Studies (20)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's3 (15.00)18.2507
2000's7 (35.00)29.6817
2010's7 (35.00)24.3611
2020's3 (15.00)2.80

Authors

AuthorsStudies
Ayinde, O1
Ross, JD1
Sim, M1
Logan, S1
Goh, LH1
Zwittink, RD1
van den Munckhof, EHA1
Leverstein-van Hall, MA1
Boers, K1
Molijn, A1
Knetsch, CW1
Kuijper, EJ1
Schwebke, JR4
Morgan, FG1
Koltun, W1
Nyirjesy, P1
Elwakil, HS1
Tawfik, RA1
Alam-Eldin, YH1
Nassar, DA1
Chavoustie, SE1
Gersten, JK1
Samuel, MJ1
Marrazzo, J1
Beelen, AP1
Sobel, JD1
Ertabaklar, H1
Yaman Karadam, S1
Malatyalı, E1
Ertuğ, S1
Hainer, BL1
Gibson, MV1
Moraes, ME1
Cunha, GH1
Bezerra, MM1
Fechine, FV1
Pontes, AV1
Andrade, WS1
Frota Bezerra, FA1
Moraes, MO1
Cavalcanti, PP1
Ressel, GW1
French, L1
Horton, J1
Matousek, M1
Sheeley, A1
Decena, DC1
Co, JT1
Manalastas, RM1
Palaypayon, EP1
Padolina, CS1
Sison, JM1
Dancel, LA1
Lelis, MA1
Anukam, KC1
Osazuwa, E1
Osemene, GI1
Ehigiagbe, F1
Bruce, AW1
Reid, G1
Pépin, J1
Sobela, F1
Khonde, N1
Agyarko-Poku, T1
Diakité, S1
Deslandes, S1
Labbé, AC1
Sylla, M1
Asamoah-Adu, C1
Frost, E1
Winceslaus, SJ1
Calver, G1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
The Impact of Using Maternity Napkins on the Incidence of Vaginal Infections in the Post-partum Period: A Randomized Controlled Trial[NCT05806879]350 participants (Anticipated)Interventional2023-06-30Not yet recruiting
Real-world Performance and Safety of Cerviron® Medical Device in the Treatment of Various Types of Vaginitis[NCT05652959]111 participants (Actual)Observational2021-05-20Completed
A Randomised Controlled Trial of Single Dose Tinidazole+Fluconazole Versus Longer Courses of Metronidazole+Clotrimazole in the Management of West African Women With Vaginal Discharge[NCT00313131]Phase 31,524 participants Interventional2004-01-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Reviews

3 reviews available for metronidazole and Vaginal Discharge

ArticleYear
Vaginitis.
    American family physician, 2011, Apr-01, Volume: 83, Issue:7

    Topics: Administration, Intravaginal; Administration, Oral; Anti-Bacterial Agents; Anti-Infective Agents; An

2011
Vaginitis.
    American family physician, 2011, Apr-01, Volume: 83, Issue:7

    Topics: Administration, Intravaginal; Administration, Oral; Anti-Bacterial Agents; Anti-Infective Agents; An

2011
Vaginitis.
    American family physician, 2011, Apr-01, Volume: 83, Issue:7

    Topics: Administration, Intravaginal; Administration, Oral; Anti-Bacterial Agents; Anti-Infective Agents; An

2011
Vaginitis.
    American family physician, 2011, Apr-01, Volume: 83, Issue:7

    Topics: Administration, Intravaginal; Administration, Oral; Anti-Bacterial Agents; Anti-Infective Agents; An

2011
Abnormal vaginal discharge: what does and does not work in treating underlying causes.
    The Journal of family practice, 2004, Volume: 53, Issue:11

    Topics: Anti-Bacterial Agents; Antifungal Agents; Candidiasis, Vulvovaginal; Clindamycin; Female; Humans; Me

2004
Sorting out common causes of abnormal vaginal discharge.
    JAAPA : official journal of the American Academy of Physician Assistants, 2004, Volume: 17, Issue:10

    Topics: Anti-Infective Agents; Female; Humans; Hydrogen-Ion Concentration; Metronidazole; Patient Education

2004

Trials

9 trials available for metronidazole and Vaginal Discharge

ArticleYear
A phase-3, double-blind, placebo-controlled study of the effectiveness and safety of single oral doses of secnidazole 2 g for the treatment of women with bacterial vaginosis.
    American journal of obstetrics and gynecology, 2017, Volume: 217, Issue:6

    Topics: Administration, Oral; Adolescent; Adult; Antiprotozoal Agents; Candidiasis, Vulvovaginal; Diarrhea;

2017
A Phase 3, Multicenter, Prospective, Open-Label Study to Evaluate the Safety of a Single Dose of Secnidazole 2 g for the Treatment of Women and Postmenarchal Adolescent Girls with Bacterial Vaginosis.
    Journal of women's health (2002), 2018, Volume: 27, Issue:4

    Topics: Administration, Oral; Adolescent; Adult; Antiprotozoal Agents; Female; Humans; Metronidazole; Prospe

2018
A Phase 3, Multicenter, Randomized, Double-Blind, Vehicle-Controlled Study Evaluating the Safety and Efficacy of Metronidazole Vaginal Gel 1.3% in the Treatment of Bacterial Vaginosis.
    Sexually transmitted diseases, 2015, Volume: 42, Issue:7

    Topics: Administration, Intravaginal; Adult; Anti-Bacterial Agents; Double-Blind Method; Female; Humans; Met

2015
Efficacy of the Mentha crispa in the treatment of women with Trichomonas vaginalis infection.
    Archives of gynecology and obstetrics, 2012, Volume: 286, Issue:1

    Topics: Adult; Antitrichomonal Agents; Double-Blind Method; Dyspareunia; Dysuria; Female; Humans; Male; Ment

2012
Metronidazole with Lactacyd vaginal gel in bacterial vaginosis.
    The journal of obstetrics and gynaecology research, 2006, Volume: 32, Issue:2

    Topics: Adult; Anti-Infective Agents; Drug Combinations; Female; Humans; Hydrogen-Ion Concentration; Immune

2006
Clinical study comparing probiotic Lactobacillus GR-1 and RC-14 with metronidazole vaginal gel to treat symptomatic bacterial vaginosis.
    Microbes and infection, 2006, Volume: 8, Issue:12-13

    Topics: Administration, Intravaginal; Adult; Anti-Bacterial Agents; Female; Humans; Lactobacillus; Metronida

2006
The syndromic management of vaginal discharge using single-dose treatments: a randomized controlled trial in West Africa.
    Bulletin of the World Health Organization, 2006, Volume: 84, Issue:9

    Topics: Adolescent; Adult; Africa, Western; Animals; Anti-Infective Agents; Antifungal Agents; Antitrichomon

2006
Recurrent bacterial vaginosis--an old approach to a new problem.
    International journal of STD & AIDS, 1996, Volume: 7, Issue:4

    Topics: Administration, Intravaginal; Anti-Infective Agents, Local; Antitrichomonal Agents; Female; Humans;

1996
Asymptomatic bacterial vaginosis: response to therapy.
    American journal of obstetrics and gynecology, 2000, Volume: 183, Issue:6

    Topics: Adult; Anti-Infective Agents; Double-Blind Method; Female; Gels; Humans; Metronidazole; Odorants; Tr

2000

Other Studies

8 other studies available for metronidazole and Vaginal Discharge

ArticleYear
The association between symptom or microscopy based diagnosis of bacterial vaginosis (BV) and response to treatment in women with recurrent BV.
    International journal of STD & AIDS, 2023, Volume: 34, Issue:9

    Topics: Female; Humans; Metronidazole; Microscopy; Vagina; Vaginal Discharge; Vaginosis, Bacterial

2023
Vaginal discharge: evaluation and management in primary care.
    Singapore medical journal, 2020, Volume: 61, Issue:6

    Topics: Anti-Infective Agents; Antifungal Agents; Female; Fluconazole; Humans; Metronidazole; Primary Health

2020
The vaginal microbiota in the course of bacterial vaginosis treatment.
    European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology, 2021, Volume: 40, Issue:3

    Topics: Adult; Anti-Bacterial Agents; Bacteria; Clindamycin; Female; Host Specificity; Humans; Metronidazole

2021
The effect of iron on metronidazole activity against Trichomonas vaginalis in vitro.
    Experimental parasitology, 2017, Volume: 182

    Topics: Adult; Aerobiosis; Anaerobiosis; Antiprotozoal Agents; Drug Interactions; Female; Ferredoxins; Ferro

2017
[Investigation of in vitro metronidazole resistance in the clinical isolates of Trichomonas vaginalis].
    Mikrobiyoloji bulteni, 2016, Volume: 50, Issue:4

    Topics: Anaerobiosis; Antiprotozoal Agents; Drug Resistance; Female; Humans; Metronidazole; Microbial Sensit

2016
CDC releases 2002 guidelines for treating STDs: Part I. Diseases characterized by vaginal discharge and PID.
    American family physician, 2002, Nov-01, Volume: 66, Issue:9

    Topics: Anti-Infective Agents; Candidiasis, Vulvovaginal; Female; Fluconazole; Humans; Metronidazole; Pelvic

2002
National guideline for the management of bacterial vaginosis. Clinical Effectiveness Group (Association of Genitourinary Medicine and the Medical Society for the Study of Venereal Diseases).
    Sexually transmitted infections, 1999, Volume: 75 Suppl 1

    Topics: Adult; Anti-Bacterial Agents; Anti-Infective Agents; Clindamycin; Drug Administration Schedule; Fema

1999
National guideline for the management of Trichomonas vaginalis. Clinical Effectiveness Group (Association for Genitourinary Medicine and the Medical Society for the Study of Venereal Diseases).
    Sexually transmitted infections, 1999, Volume: 75 Suppl 1

    Topics: Adult; Animals; Antitrichomonal Agents; Breast Feeding; Child, Preschool; Female; Humans; Infectious

1999