Bartholinitis - treatment with antibiotics

From the subcutaneous fat in the vagina on the border between the middle and lower third opens the duct of the Bartholin gland, which produces a secret that provides a constant moisture in the vagina and is located in the subcutaneous tissue of the large labia. The excretory duct can penetrate bacteria, viruses or fungi, which leads to acute or chronic inflammation of the gland - bartholinitis . Most often, inflammation is caused by chlamydia, gonococci, trichomonads, less often - staphylococci, streptococci, E. coli, viruses or mixed microflora.

How to treat bartholinitis?

In acute bartholinitis, especially with the development of the abscess of the Bartholin gland, surgical treatment (opening and draining the abscess) is first applied, followed by the appointment of antibacterial, local anti-inflammatory, restorative therapy.

Antibiotic therapy of acute bartholinitis includes broad-spectrum antibiotics, which are usually prescribed parenterally. Of the most commonly used antibiotics, we can name the group of cephalosporins 2-4 generation (Ceftriaxone, Cefuroxime, Cefotaxime, Ceftazidime, Cefoperazone, Cefepime). In the presence of contraindications, allergic reactions, or if necessary, the appointment of a second antibiotic, antibiotics of the fluoroquinolones group (Ofloxacin, Levofloxacin, Ciprofloxacin or Gatifloxacin) are usually used in bartholinitis. What antibiotics to drink at bartolinite, the doctor decides, but before prescribing treatment, when a patient has chronic bartholinitis, can prescribe a culture on the microflora and its sensitivity to antibiotics.

In mixed flora, not only antibiotics are prescribed for bartholinitis, but imidazole group preparations ( Trichopolum , Metronidazole, Ornidazole or Metragyl for parenteral administration).

In the complex treatment of bartholinitis, antifungal drugs are prescribed together with antibiotics (Fluconazole, Ketoconazole). It does not matter what antibiotics are treated with bartolinite - almost all of them cause disturbances in the normal vaginal flora and can cause thrush, because antifungal agents are prescribed with 3-5 days of antibiotic therapy for the prevention of candidiasis.

From local anti-inflammatory therapy with bartolinite, a solution of antiseptic (Chlorhexidine, Dekasan, Miramistin) is prescribed in tampons moistened in solution.

Since the microflora, which caused inflammation, is the same for both sexual partners, the complex treatment of carrier is prescribed to the man.