Dequalinium chloride use in adult Spanish women with bacterial vaginosis: an observational study.

Bacterial vaginosis (BV) represents the most frequent vaginal infection in women of childbearing age. The aim of this study was to characterise episodes of BV among adult Spanish women and their management with dequalinium chloride (DQC). Data from 573 DQC-treated BV adult women was obtained on medical records and questionnaires. The study shows that 20.6% had presented vaginal infections previously. Comorbid candidosis was significantly associated to other symptoms, such as pruritus or leucorrhoea. Most patients (64.3%) indicated a moderate-strong impact of the BV episode on their sexual life. After treatment, 84.8% of patients reported no BV symptoms. Patients were given instructions to prevent relapses. Most patients (83.1%) rated DQC as 'satisfactory' or 'very/extremely satisfactory' regarding symptom relief, prevention or treatment of the episode of BV. In conclusion, this study provides a better understanding of BV episodes and the impact of the treatment with DQC in real clinical practice in Spanish patients.IMPACT STATEMENTWhat is already known on this subject? Bacterial vaginosis (BV) is the most commonly reported vaginal infection among women of childbearing age. Despite the availability of antibiotic medications for the treatment of BV, management of this condition remains challenging. In fact, recurrence of BV has been reported for up to 50% of cases. However, antiseptic agents are considered an effective option for BV treatment.What the results of this study add? The study provides a better understanding of the prevalent symptomatology and the impact on quality of life of women with BV. Moreover, it has been observed that antiseptic dequalinium chloride (DQC) efficiently reduces symptoms and improves quality of life of the patients during episodes of BV.What the implications are of these findings for clinical practice and/or further research? In the context of the World Health Organisation recommendations on the rational use of antibiotics, we believe that the use of DQC may be a good alternative to antibiotics as a therapy for BV.

Episiotomía y puerperio domiciliario / Episiotomy and puerperium at home

Estudio observacional y prospectivo mediante encuesta telefónica (entre tres y seis meses posparto) posterior a un parto vaginal en 100 mujeres, con objeto de determinar las diferencias entre las episiotomías grandes, pequeñas y desgarros, y sus efectos en el puerperio, para sensibilizar a los profesionales de la importancia del dolor y las consecuencias de la episiotomía El porcentaje de respuesta a las encuestas telefónicas fue del 82 por ciento. Se practicó episiotomía mediolateral derecha en un 74,4 por ciento de pacientes, seguida de episiotomía mediolateral izquierda (12,2 por ciento). La demora en el inicio de las relaciones sexuales resultó significativa en las episiotomías grandes (>4cm) p<0,001. Así mismo la duración de la dispareunia aumentó significativamente con el tamaño de la episiotomía. (p<0,0059) y también la diferencia de hemoglobinas ante o intraparto y posparto (p<0,0153) en piel y en vagina (p=0,026). La relación entre dolor, analgesia y tamaño es significativa en las mediciones de piel (p<0,007) (AU)