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The description of persistent biofilm after treatment should lead to a search for better treatments and maybe a way of reducing relapse
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What is the best approach for managing recurrent bacterial vaginosis?
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Alfonsi GA, Shlay JC, Parker S, Neher JO. What is the best approach for managing recurrent bacterial vaginosis? J Fam Pract 2004; 53:650-652.
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Schwebke JR, Desmond R. A randomized trial of metronidazole in asympto-matic bacterial vaginosis to prevent the acquisition of sexually transmitted diseases. Am J Obstet Gynecol 2007; 196'.517-526. A provocative study which will need replication before changing guidelines on treating asymptomatic bacterial vaginosis.
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Schwebke JR, Desmond R. A randomized trial of metronidazole in asympto-matic bacterial vaginosis to prevent the acquisition of sexually transmitted diseases. Am J Obstet Gynecol 2007; 196'.517-526. A provocative study which will need replication before changing guidelines on treating asymptomatic bacterial vaginosis.
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A randomized trial of the duration of therapy with metronidazole plus or minus azithromycin for treatment of symptomatic bacterial vaginosis
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An important though mostly negative study showing that antibiotic therapy more aggressive than standard metronidazole does not provide better long-term cure of bacterial vaginosis
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Schwebke JR, Desmond RA. A randomized trial of the duration of therapy with metronidazole plus or minus azithromycin for treatment of symptomatic bacterial vaginosis. Clin Infect Dis 2007; 44:213-219. An important though mostly negative study showing that antibiotic therapy more aggressive than standard metronidazole does not provide better long-term cure of bacterial vaginosis.
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