Pharmacist prescribers Linda Bryant and Leanne Te Karu discuss positive polypharmacy for heart failure. Current evidence shows the intensive implementation of four medications offers the greatest benefit to most patients with heart failure, with significant reductions in cardiovascular mortality, heart failure hospitalisations and all-cause mortality
A hairy case of trichomoniasis: Azole resistance or reinfection?
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In print
SEXUAL HEALTH
A hairy case of trichomoniasis: Azole resistance or reinfection?
Wednesday 25 May 2022, 12:50 AM
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Colourised scanning electron microscopy image of the “hairy unit”, Trichomonas vaginalis [Image: fickleandfreckled on Flickr, CC BY 2.0]
Sexual health specialist Massimo Giola discusses Trichomonas vaginalis infection and treatment, including whether patients can drink alcohol while taking metronidazole
Key points, The gold standard for treatment of Trichomonas vaginalis infection is now a one-week course of metronidazole 400mg twice daily with food.
T. vaginal, Pract Green w Pale Yellow
References
1. Visapää JP, Tillonen JS, Kaihovaara PS, Salaspuro MP. Lack of disulfiram-like reaction with metronidazole and ethanol. Ann Pharmacother 2002;36(6):971–74.
2. Brosh-Nissimov T, Hindiyeh M, Azar R, et al. A false-positive Trichomonas vaginalis result due to Trichomonas tenax presence in clinical specimens may reveal a possible T. tenax urogenital infection. Clin Microbiol Infect 2019;25(1):123–24.