Local therapy as a modern trend in the treatment of vaginal infections

В. А. Потапов

Abstract


Infectious-inflammatory diseases of the vagina (vaginitis) are a problem with serious social and economic consequences around the world. Vaginitis varies depending on their origin; they are divided into infectious and non-infectious. Non-infectious vaginitis develops in the absence of an infectious agent. They can cause thermal, chemical, mechanical and allergic factors. Bacterial factors may join to the inflammatory process later. To this group belongs atrophic vaginitis too. Infectious vaginitis includes bacterial vaginosis, nonspecific vaginitis, candida vaginitis, gonorrheal vaginitis, trichomonas vaginitis.

The abundance of therapeutic regimens used in the treatment of infectious and inflammatory vaginal diseases indicates on their low therapeutic efficacy. Thus, long-term antibiotic treatment of chronic vulvovaginitis changes endogenous flora, increases number of resistant strains to antibacterial drugs. That is why most researchers indicate on a central role of integrated management, including a general and local therapy. In particular, highly effective in the vaginitis treatment showed combined local drugs with complex work: it has antibacterial, antifungal and antiviral effect, help to restore the “positive” microflora balance, as well as eliminate the dryness of the external genitalia, recovers mucosa, has anti-inflammatory properties.

Today special attention is attracted by modern local drug Gynodek® in the form of a vaginal gel, which has been successfully used in recent years for the topical treatment and prevention of vaginal infections.

In a case of persistent, acute vaginitis should be used topical antibiotics based on its susceptibility. In the final stage drugs for restoration of the natural vaginal flora and increasing its protective properties are used. To control the cure in women of reproductive age swabs are taken for 4–5-th day of menstruation, and after treatment in girls and women in menopause. In order to prevent recurrences the local therapy should be repeated after 4–5 months.


Keywords


infectious and inflammatory vaginal diseases; vaginitis; antibiotic resistance; topical therapy; Gynodek®

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DOI: http://dx.doi.org/10.18370/2309-4117.2016.31.68-72

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