• ​Metro 400mg BD 5/7. Alternative: metro 0.75% vaginal gel nocte 5/7 OR clindamycin 2% vaginal cream 5g applicator PV nocte for 7/7. Pregnant/BF: routine rx not recommended if asymptomatic.

• BV in pregnancy associated with preterm birth and impaired perinatal outcomes. Although treatment reduced bacterial overgrowth, it did not significantly reduce the risk of preterm births. Conclusion: little evidence that screening and treating all pregnant women with BV will prevent preterm births and its consequences. Antibiotics for treating bacterial vaginosis in pregnancy. (Cochrane), Bacterial vaginosis (NHS Choices), Bacterial vaginosis (CKS)

Resources

• STI treatment guideline for primary care (Lambeth & Southwark CCG)