Respond to 2 Peer Based on APA Guidelines. Work must be supported by peer-reviewed article published within 5 years.

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Case Study on Bacterial Vaginosis
Marisel Trista
Florida National University

Case Study on Bacterial Vaginosis
​Bacterial vaginosis (BV) is the common cause of vaginal discharge among women of childbearing age. The condition occurs when the lactobacillus domination of the vaginal biome is surpassed by Gardnerella vaginalis and anaerobic bacteria, leading to lower levels of hydrogen peroxide and organic acids and thus raising the vaginal pH and production of amines. Women with the condition can be asymptomatic or report an atypical vaginal discharge with an unpleasant, fish-like odor, especially after sexual intercourse. Vaginal douching makes women vulnerable to infections, such as bacterial vaginosis.
Treatment Goals for the Patient
​The principal goal for treating bacterial vaginosis are two. These are to relieve vaginal symptoms and signs of infections (Redelinghuys et al. 2020). In treating the patient, the therapy course will seek to relieve any vaginal symptoms manifesting, such as vaginal discharge, and odor after sexual intercourse, and the same signs of infection.
Drug Therapy for the Patient
​Despite the limitations of the current therapeutic approaches in managing bacterial vaginosis, pharmacological measures are usually the first-line treatment for the condition. In this case, for a woman who is not pregnant, which is the case for the R.S., treatment will involve metronidazole 500 mg PO b.i.d. for 7 days, or metronidazole gel 0.75 percent, 1 full applicator (5 g) intravaginally once a day for 5 days, or clindamycin cream 2 percent, 1 full applicator (5 g) intravaginally at bedtime for 7 days (Bradshaw & Sobel, 2016).
Patient Education
​Patient education will require creating awareness of how the patient and her partner can prevent recurrences or infections. First, patient education will involve educating R.S. against subsequent vaginal douching. Gondwe et al. (2020) explain that vaginal douching increases the risk of vaginal infections because of altering its pH. Accordingly, the patient will be made aware of this risk and the reality that the vagina can clean itself inside with natural vaginal secretions. Second, the patient will be educated about the need to use protection with her partner during treatment period. It will be necessary to inform the patient that the partner will not require treatment for the condition. Third, the patient will be educated on the adverse reactions that can necessitate stopping the therapy. These include confusion, diarrhea, vomiting, nausea, peripheral neuropathy, and metallic taste. Lastly, the patient will be encouraged to maintain a single sexual partner (Buttaro et al., 2020). Bacterial vaginosis makes one vulnerable to sexually transmitted infections (STIs), such as herpes simplex virus, human immunodeficiency virus (HIV), chlamydia, and gonorrhea. This will also extend to his partner to reduce the risk of STIs.
Adverse Reactions for Therapy Change
​The first-line course

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