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Nitroimidazole drugs are effective in the treatment of trichomoniasis in women.

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Trichomoniasis is a sexually transmitted infection that affects about 120 million women worldwide every year. This review examines the effectiveness of various treatments and found that oral nitroimidazole drugs are effective in treating trichomoniasis in women.

Contexte

Around 120 million women worldwide suffer from Trichomonas vaginalis vaginitis every year. The infection is sexually transmitted and is believed to facilitate HIV transmission.

Objectifs

To assess the effects of various treatment strategies for trichomoniasis in women.

Stratégie de recherche documentaire

We searched the Cochrane Central Register of Controlled Trials , MEDLINE, and EMBASE. Trials were also identified from reference lists of reviews, through pharmaceutical companies, and by informal discovery. Only published data were used in this review. Date of the most recent search: November, 2002.

Critères de sélection

Randomised or quasi-randomised trials of different treatment strategies in women with trichomoniasis. Different antitrichomonal drugs or doses were eligible, as were comparisons of treatment with no treatment or placebo.

Recueil et analyse des données

Trial quality was assessed and data extracted by two reviewers independently using standard criteria.

Résultats principaux

Fifty-four trials were included. Nitroimidazole drugs seem to be effective in achieving parasitological cure in short term follow up. Partner treatment can be effective in decreasing longer term reinfection rates.

Conclusions des auteurs

Parasitological cure can be achieved by single oral dose of nitroimidazole. Further research should focus on developing effective partner treatment strategies to prevent reinfections and reduce trichomoniasis prevalence.

Citation
Forna F, Gülmezoglu AM. Interventions for treating trichomoniasis in women. Cochrane Database of Systematic Reviews 2003, Issue 2. Art. No.: CD000218. DOI: 10.1002/14651858.CD000218.

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