Overview

Recurrent Bacterial Vaginosis and Vaginal Acidifying Gel Trial

Status:
Completed
Trial end date:
2009-07-01
Target enrollment:
0
Participant gender:
Female
Summary
Bacterial vaginosis (BV) is a common, complex clinical syndrome characterized by alterations in the normal vaginal flora. Bacterial vaginosis has been associated with a variety of adverse health outcomes including endometritis; post-abortion endometritis; nongonococcal, nonchlamydial pelvic inflammatory disease; and an increased risk of acquiring and transmitting HIV infection. In pregnancy, BV is associated with premature rupture of the membranes, chorioamnionitis, amniotic fluid infection, preterm labor, preterm birth, and postpartum endometritis. Several studies have documented increased postpartum complications in the newborn and infants. The etiology of BV is poorly understood but recurrence is quite common despite treatment. Documented recurrence rate of up to 30% within three months are reported. Small studies have shown that adding vaginal acidifying gel to standard antibiotic regimens may reduce recurrence rates of BV. We plan an RCT comparing standard antibiotic therapy to antibiotics plus vaginal acidifying gel. Our hypothesis is that the addition of an acidifying gel will decrease the chance of recurrence of BV within 3 months.
Phase:
N/A
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
Indiana University School of Medicine
Treatments:
Metronidazole
Criteria
Inclusion Criteria:

1. All women of between 18-50 years of age.

2. Confirmed current diagnosis of BV using Amsel's criteria.

3. Women with at least total 2 confirmed episodes of BV including most recent episode (by
Amsel's criteria) within a six month period or at least total three or more in the
past twelve months

Exclusion Criteria:

1. Patient who received antibiotic therapy within the past two weeks.

2. Patients who had co-existing gonorrhea or Chlamydia infection

3. Any contraindications or sensitivity to taking the vaginal gel.

4. Allergy to metronidazole

5. Alcoholics or those unable to abstain from alcohol consumption.

6. Pregnancy