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Trichomonas vaginalis — DFSRH MCQ

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HardSTIsTrichomonas vaginalisDFSRH

A 29-year-old woman has frothy yellow discharge, vulval soreness and a positive NAAT for Trichomonas vaginalis. She has a regular male partner. What is the most appropriate management?

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Correct answer: B — Metronidazole treatment with partner notification and treatment

The best answer is “Metronidazole treatment with partner notification and treatment”. Trichomoniasis requires nitroimidazole treatment and partner management to prevent reinfection. Fluconazole treats candidiasis, not trichomoniasis. Abstinence advice until treatment is completed is needed. The diagnosis and management depend on the exposure sites, symptom pattern, pregnancy status, microbiology and need for partner notification. Empirical treatment may be appropriate when delay risks complications, but samples should be collected where possible. Advice about abstinence or condoms continues until treatment and partner management have made reinfection unlikely.

Reference: BASHH, Chlamydia guideline and current guideline status: https://www.bashh.org/resources/guidelines