Treatments for Bartholin's abscess
Treatments for Bartholin's abscess
The list of treatments mentioned in various sources
for Bartholin's abscess
includes the following list.
Always seek professional medical advice about any treatment
or change in treatment plans.
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Vaginal Discharge:
Treatment
(In a Page: Signs and Symptoms)
-
See most recent CDC guidelines for all STDs
-
Trichomonas
–Metronidazole single dose or for 7 days (avoid alcohol with metronidazole use)
–Intravaginal clotrimazole if pregnant or unable to use metronidazole
Gonorrhea
–Oral ciprofloxacin or IM ceftriaxone
Chlamydia –Azithromycin or doxycycline orally
Bacterial vaginosis
–Metronidazole single dose or for 7 days
Candida
–Clotrimazole cream or intravaginal suppository
–Fluconazole single dose
Atrophic vaginitis
–Topical or oral hormone replacement if appropriate
Advise to avoid douching/perfumed hygiene products
>
» READ BOOK EXCERPT ONLINE »
Source: In a Page: Signs and Symptoms, 2004
Vaginal Discharge:
Treatment
(In A Page: Pediatric Signs and Symptoms)
-
Physiologic leukorrhea: Provide reassurance
-
Irritative vaginal discharge: Educate on proper wiping techniques, avoidance of tight clothing and irritants
-
Foreign bodies such as toilet paper can usually be removed with gentle vaginal lavage, sitz baths
-
Treatments for infectious causes of vaginal discharge:
–Bacterial vaginosis: Metronidazole or topical
clindamycin
–Candida can be treated with topical or oral antifungals
–Trichomonas is treated with metronidazole
–Group A β-hemolytic streptococci: Penicillin
–Chlamydia is treated with doxycycline or azithromycin
–Gonorrhea: Ceftriaxone, ciprofloxacin, or ofloxacin
–Shigella is treated with trimethoprim-sulfamethoxazole
- Encourage barrier contraception in sexually active adolescents
» READ BOOK EXCERPT ONLINE »
Source: In A Page: Pediatric Signs and Symptoms, 2007
Throat abscesses:
Treatment
(Professional Guide to Diseases (Eighth Edition))
For early-stage peritonsillar abscess, large doses of penicillin or another broad-spectrum antibiotic are necessary. If the patient is immunocompromised or has been repeatedly hospitalized, antibiotic therapy should include coverage for staphylococci and gram-negative organisms. For late-stage abscess, with cellulitis of the tonsillar space, primary treatment is usually incision and drainage under a local anesthetic, followed by antibiotic therapy for 7 to 10 days. Tonsillectomy, scheduled no sooner than 1 month after healing, prevents recurrence but is recommended only after several episodes.
In acute retropharyngeal abscess, the primary treatment is incision and drainage through the pharyngeal wall. It’s considered a surgical emergency. In chronic retropharyngeal abscess, drainage is performed through an external incision behind the sternomastoid muscle. During incision and drainage, strong, continuous mouth suction is necessary to prevent aspiration of pus, and the head should be kept down. Postoperative drug therapy includes I.V. antibiotics (usually penicillin or clindamycin) and analgesics.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Perirectal abscess and fistula:
Treatment
(Handbook of Diseases)
Perirectal abscesses require surgical incision and drainage. The area may be explored to identify a fistula tract, and a fistulotomy may be performed later. Fistulas require a fistulotomy — removal of the fistula tract and associated granulation tissue — under general, spinal, or caudal anesthesia. If the fistula tract is epithelialized, treatment requires fistulectomy — removal of the fistulous tract — followed by the insertion of drains, which are gradually removed over time.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
Vaginal discharge:
Patient counseling
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
Teach the patient to keep her perineum clean and dry. Also, tell her to avoid wearing tight-fitting clothing and nylon underwear and to instead wear cotton-crotched underwear and pantyhose. If appropriate, suggest that the patient douche with a solution of 5 tbs of white vinegar to 2 qt (2 L) of warm water to help relieve her discomfort.
If the patient has a vaginal infection, tell her to continue taking the prescribed medication even if her symptoms clear or she menstruates. Also, advise her to avoid intercourse until her symptoms clear and then to have her partner use condoms until she completes her course of medication. If her condition is sexually transmitted, instruct her on safer sex methods.
» READ BOOK EXCERPT ONLINE »
Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Vaginal discharge:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Obtain cultures of the vaginal discharge.
▪ Give antibiotics, antivirals, or other drugs, as ordered.
▪ Observe standard precautions to prevent the spread of infection.
Patient teaching
▪ Explain to the patient the cause of vaginal discharge and its treatment.
▪ Teach the patient proper perineal hygiene and advise her to avoid tight-fitting clothing and nylon underwear.
▪ Suggest douching with vinegar and warm water to help relieve discomfort, if appropriate.
▪ Tell the patient to continue taking prescribed drugs even if her symptoms clear.
▪ Advise the patient to avoid intercourse until symptoms resolve.
▪ Provide information on safer sex practices.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
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