Date of Award
Master of Physician Assistant Studies (MPAS)
Physician Assistant Studies
Despite evidence that bacterial vaginosis can lead to poor perinatal outcomes the consensus remains against a screening and treatment protocol for all pregnant women. Due to variability in a multitude of factors, a generalized recommendation is difficult to make. There are inconsistencies among stage of gestation that screening took place and treatment selection. The multiple variables in demographics also make providing best practice recommendations difficult. Lack of recommendations are largely due to harm of treatment in those who were misdiagnosed. The development of polymerase chain reaction (PCR) has the capability to reduce misdiagnosis. Newer studies have shown benefit of early screening and treatment and the use of clindamycin over the traditional treatment of metronidazole.
Severson, Stephanie, "Comparing Screening and Treatment of Bacterial Vaginosis and Pregnancy Outcomes" (2019). Physician Assistant Scholarly Project Papers. 53.