DGI:Gynäkologische Infektionen/Therapie: Unterschied zwischen den Versionen

Aktuelle Version vom 18. März 2022, 14:47 Uhr

a) Bakterielle Vaginose

Da es sich bei der BV um eine Dysbiose der Scheidenmilieus handelt ist eine spezifische Therapie eines Erregers meist nicht sinnvoll. Die Therapie mittels Metronidazol oder alternativ einer lokalen Therapie mittels einer Clindamycin-haltigen Vaginalcreme sind in der Regel ausreichend. Beachtung sollten Schwangere mit einem hohen Risiko für eine Frühgeburt erfahren.

Kalkulierte Therapie


Diagnose	Substanz	Dosierung	Dauer
BV außerhalb der Schwangerschaft	Metronidazol alternativ Clindamycin	2x/500 mg p.o. 5g 2%ige Vaginalcreme	7 Tage
BV während der Schwangerschaft	Metronidazol alternativ Clindamycin oder Clindamycin	2x/500 mg p.o. 5g 2%ige Vaginalcreme 2 x 300 mg p.o.	7 Tage

b) Bartholinitis

Zunächst erfolgt im frühen Stadium eine konservative Therapie mit lokalen Maßnahmen wie Kühlen sowie einer Antiphlogistischen und Analgetischen Mitteln.

Erst schwerere Verläufe werden mit einer Kombinationstherapie aus Amoxicillin und Metronidazol therapiert. Kommt es zu einer Abszessbildung ist eine chirurgische Intervention (Marsupialisation) notwendig. Bei Nachweis von Chlamydien muss diese Therapie entsprechend angepasst werden.

Kalkulierte Therapie weiterer Erkrankungen/Infektionen


Diagnose	Substanz	Dosierung	Dauer
Vulvitis pustulosa	Cefuroxim alternativ: Clindamycin	3 x 500mg p.o. 2 x 300mg p.o.	5 Tage
Furunkel / Karbunkel	I.d.R. keine antibiotische Therapie notwendig falls doch: Cefuroxim alternativ: Clindamycin	3 x 500mg p.o. 2 x 300mg p.o	5 Tage
Vulvitis durch A-Streptokokken	Penicillin V oder Amoxicillin oder Cefpodoxim alternativ: Clindamycin	3 x 1 Mio bis 1,5 Mio IE p.o. 3 x 1000mg p.o. 2 x 200mg p.o. 2 x 300mg p.o.	10 Tage 10 Tage 7 - 10Tage 10 Tage
Erythrasma	Imidazol-Derivat lokal Tetracyclin lokal
Bartholinitis nur bei schweren Verläufen	Amoxicillin plus Metronidazol bei Gonokokken-Nachweis Ceftriaxon	3 x 2000 mg p.o. 2 x 500 mg p.o. 1 x 2000 mg i.v.	7 Tage 7 Tage
Kolpitis Trichomoniasis	Metronidazol	1 x 2000mg p.o.	1 Tag
Kolpitis ohne Erregernachweis	Clindamycin	5g 2%ige Vaginalcreme	1 Tag
Kolpitis A-Streptokokken	Penicillin V oder Amoxicillin oder Cefpodoxim alternativ: Clindamycin	3 x 1 Mio bis 1,5 Mio IE p.o. 3 x 1000mg p.o. 2 x 200mg p.o. 2 x 300mg p.o.	10 Tage 10 Tage 7 - 10Tage 10 Tage

@@ Zeile 1: / Zeile 1: @@
-== Therapie ==
+<span class="ve-pasteProtect" style="mso-list:Ignore" data-ve-attributes="{&quot;style&quot;:&quot;mso-list:Ignore&quot;}">a) <span class="ve-pasteProtect" style="font:7.0pt &quot;Times New Roman&quot;" data-ve-attributes="{&quot;style&quot;:&quot;font:7.0pt \&quot;Times New Roman\&quot;&quot;}">  </span></span>'''<u>Bakterielle Vaginose</u>'''
-<span class="ve-pasteProtect" style="mso-list:Ignore" data-ve-attributes="{&quot;style&quot;:&quot;mso-list:Ignore&quot;}">a) <span class="ve-pasteProtect" style="font:7.0pt &quot;Times New Roman&quot;" data-ve-attributes="{&quot;style&quot;:&quot;font:7.0pt \&quot;Times New Roman\&quot;&quot;}">  </span></span>Bakterielle Vaginose
 Da es sich bei der BV um eine Dysbiose der Scheidenmilieus handelt ist eine spezifische Therapie eines Erregers meist nicht sinnvoll. Die Therapie mittels Metronidazol oder alternativ einer lokalen Therapie mittels einer Clindamycin-haltigen Vaginalcreme sind in der Regel ausreichend. Beachtung sollten Schwangere mit einem hohen Risiko für eine Frühgeburt erfahren.
-===Kalkulierte Therapie ===
+===Kalkulierte Therapie===
 <br />
-{| class="MsoTableGrid" border="1" cellspacing="0" cellpadding="0" style="border-collapse:collapse;border:none;mso-border-alt:solid black .5pt;" data-ve-attributes="{&quot;style&quot;:&quot;border-collapse:collapse;border:none;mso-border-alt:solid black .5pt;&quot;}"
+{| class="wikitable sortable bs-exportable MsoTableGrid" style="border-collapse:collapse;border:none;mso-border-alt:solid black .5pt;" data-ve-attributes="{&quot;style&quot;:&quot;border-collapse:collapse;border:none;mso-border-alt:solid black .5pt;&quot;}" cellspacing="0" cellpadding="0" border="1"
-| style="width:116.8pt;" width="156" valign="top" data-ve-attributes="{&quot;style&quot;:&quot;width:116.8pt;&quot;}" |Diagnose
+|+
-| style="width:116.8pt;" width="156" valign="top" data-ve-attributes="{&quot;style&quot;:&quot;width:116.8pt;&quot;}" |Substanz
+! style="width:116.8pt;" class="col-grey-light-bg" data-ve-attributes="{&quot;style&quot;:&quot;width:116.8pt;&quot;}" width="156" valign="top" |'''Diagnose'''
-| style="width:116.8pt;" width="156" valign="top" data-ve-attributes="{&quot;style&quot;:&quot;width:116.8pt;&quot;}" |Dosierung
+! style="width:116.8pt;" class="col-grey-light-bg" data-ve-attributes="{&quot;style&quot;:&quot;width:116.8pt;&quot;}" width="156" valign="top" |'''Substanz'''
-| style="width:116.85pt;" width="156" valign="top" data-ve-attributes="{&quot;style&quot;:&quot;width:116.85pt;&quot;}" |Dauer
+! style="width:116.8pt;" class="col-grey-light-bg" data-ve-attributes="{&quot;style&quot;:&quot;width:116.8pt;&quot;}" width="156" valign="top" |'''Dosierung'''
+! style="width:116.85pt;" class="col-grey-light-bg" data-ve-attributes="{&quot;style&quot;:&quot;width:116.85pt;&quot;}" width="156" valign="top" |'''Dauer'''
 |- style="mso-yfti-irow:1" data-ve-attributes="{&quot;style&quot;:&quot;mso-yfti-irow:1&quot;}"
-| style="width:116.8pt;" width="156" valign="top" data-ve-attributes="{&quot;style&quot;:&quot;width:116.8pt;&quot;}" |BV außerhalb der Schwangerschaft
+| style="width:116.8pt;" data-ve-attributes="{&quot;style&quot;:&quot;width:116.8pt;&quot;}" width="156" valign="top" |BV außerhalb der Schwangerschaft
-| style="width:116.8pt;" width="156" valign="top" data-ve-attributes="{&quot;style&quot;:&quot;width:116.8pt;&quot;}" |Metronidazol
+| style="width:116.8pt;" data-ve-attributes="{&quot;style&quot;:&quot;width:116.8pt;&quot;}" width="156" valign="top" |Metronidazol
-''<span class="ve-pasteProtect" style="font-size:10.0pt" data-ve-attributes="{&quot;style&quot;:&quot;font-size:10.0pt&quot;}">alternativ</span>''
+<span class="ve-pasteProtect" style="font-size:10.0pt" data-ve-attributes="{&quot;style&quot;:&quot;font-size:10.0pt&quot;}">alternativ</span>
 Clindamycin
-| style="width:116.8pt;" width="156" valign="top" data-ve-attributes="{&quot;style&quot;:&quot;width:116.8pt;&quot;}" |2x/500 mg p.o.
+| style="width:116.8pt;" data-ve-attributes="{&quot;style&quot;:&quot;width:116.8pt;&quot;}" width="156" valign="top" |2x/500 mg p.o.
 g 2%ige Vaginalcreme
-| style="width:116.85pt;" width="156" valign="top" data-ve-attributes="{&quot;style&quot;:&quot;width:116.85pt;&quot;}" |7 Tage
+| style="width:116.85pt;" data-ve-attributes="{&quot;style&quot;:&quot;width:116.85pt;&quot;}" width="156" valign="top" |7 Tage
 |- style="mso-yfti-irow:2;mso-yfti-lastrow:yes" data-ve-attributes="{&quot;style&quot;:&quot;mso-yfti-irow:2;mso-yfti-lastrow:yes&quot;}"
-| style="width:116.8pt;" width="156" valign="top" data-ve-attributes="{&quot;style&quot;:&quot;width:116.8pt;&quot;}" |BV während der Schwangerschaft
+| style="width:116.8pt;" data-ve-attributes="{&quot;style&quot;:&quot;width:116.8pt;&quot;}" width="156" valign="top" |BV während der Schwangerschaft
-| style="width:116.8pt;" width="156" valign="top" data-ve-attributes="{&quot;style&quot;:&quot;width:116.8pt;&quot;}" |Metronidazol
+| style="width:116.8pt;" data-ve-attributes="{&quot;style&quot;:&quot;width:116.8pt;&quot;}" width="156" valign="top" |Metronidazol
-''<span class="ve-pasteProtect" style="font-size:10.0pt" data-ve-attributes="{&quot;style&quot;:&quot;font-size:10.0pt&quot;}">alternativ</span>''
+<span class="ve-pasteProtect" style="font-size:10.0pt" data-ve-attributes="{&quot;style&quot;:&quot;font-size:10.0pt&quot;}">alternativ</span>
 Clindamycin
-''<span class="ve-pasteProtect" style="font-size:10.0pt" data-ve-attributes="{&quot;style&quot;:&quot;font-size:10.0pt&quot;}">oder</span>''
+<span class="ve-pasteProtect" style="font-size:10.0pt" data-ve-attributes="{&quot;style&quot;:&quot;font-size:10.0pt&quot;}">oder</span>
 Clindamycin
-| style="width:116.8pt;" width="156" valign="top" data-ve-attributes="{&quot;style&quot;:&quot;width:116.8pt;&quot;}" |2x/500 mg p.o.
+| style="width:116.8pt;" data-ve-attributes="{&quot;style&quot;:&quot;width:116.8pt;&quot;}" width="156" valign="top" |2x/500 mg p.o.
 g 2%ige Vaginalcreme
 x 300 mg p.o.
-| style="width:116.85pt;" width="156" valign="top" data-ve-attributes="{&quot;style&quot;:&quot;width:116.85pt;&quot;}" |7 Tage
+| style="width:116.85pt;" data-ve-attributes="{&quot;style&quot;:&quot;width:116.85pt;&quot;}" width="156" valign="top" |7 Tage
-|}CAVE: bei Hochrisikopatientinnen mit Frühgeburt in der Anamnese muss eine Prophylaxe als systemische Gabe erfolgen.
+|}
+{{Hinweis/CAVE|text=Bei Hochrisikopatientinnen mit Frühgeburt in der Anamnese muss eine Prophylaxe als systemische Gabe erfolgen.}}
-<span class="ve-pasteProtect" style="mso-list:Ignore" data-ve-attributes="{&quot;style&quot;:&quot;mso-list:Ignore&quot;}">b) <span class="ve-pasteProtect" style="font:7.0pt &quot;Times New Roman&quot;" data-ve-attributes="{&quot;style&quot;:&quot;font:7.0pt \&quot;Times New Roman\&quot;&quot;}">   </span></span>Bartholinitis
+<span class="ve-pasteProtect" style="mso-list:Ignore" data-ve-attributes="{&quot;style&quot;:&quot;mso-list:Ignore&quot;}">b) <span class="ve-pasteProtect" style="font:7.0pt &quot;Times New Roman&quot;" data-ve-attributes="{&quot;style&quot;:&quot;font:7.0pt \&quot;Times New Roman\&quot;&quot;}">   </span></span>'''<u>Bartholinitis</u>'''
 Zunächst erfolgt im frühen Stadium eine konservative Therapie mit lokalen Maßnahmen wie Kühlen sowie einer Antiphlogistischen und Analgetischen Mitteln.
 Erst schwerere Verläufe werden mit einer Kombinationstherapie aus Amoxicillin und Metronidazol therapiert. Kommt es zu einer Abszessbildung ist eine chirurgische Intervention (Marsupialisation) notwendig. Bei Nachweis von Chlamydien muss diese Therapie entsprechend angepasst werden.
+<br />
 ====Kalkulierte Therapie weiterer Erkrankungen/Infektionen====
-<br />
+{| class="wikitable sortable bs-exportable MsoTableGrid" style="border-collapse:collapse;border:none;mso-border-alt:solid black .5pt;" data-ve-attributes="{&quot;style&quot;:&quot;border-collapse:collapse;border:none;mso-border-alt:solid black .5pt;&quot;}" cellspacing="0" cellpadding="0" border="1"
-{| class="MsoTableGrid" border="1" cellspacing="0" cellpadding="0" style="border-collapse:collapse;border:none;mso-border-alt:solid black .5pt;" data-ve-attributes="{&quot;style&quot;:&quot;border-collapse:collapse;border:none;mso-border-alt:solid black .5pt;&quot;}"
+|+
-| style="width:106.1pt;" width="141" valign="top" data-ve-attributes="{&quot;style&quot;:&quot;width:106.1pt;&quot;}" |Diagnose
+! style="width:106.1pt;" class="col-grey-light-bg" data-ve-attributes="{&quot;style&quot;:&quot;width:106.1pt;&quot;}" width="141" valign="top" |'''Diagnose'''
-| style="width:5.0cm;" width="189" valign="top" data-ve-attributes="{&quot;style&quot;:&quot;width:5.0cm;&quot;}" |Substanz
+! style="width:5.0cm;" class="col-grey-light-bg" data-ve-attributes="{&quot;style&quot;:&quot;width:5.0cm;&quot;}" width="189" valign="top" |'''Substanz'''
-| style="width:148.8pt;" width="198" valign="top" data-ve-attributes="{&quot;style&quot;:&quot;width:148.8pt;&quot;}" |Dosierung
+! style="width:148.8pt;" class="col-grey-light-bg" data-ve-attributes="{&quot;style&quot;:&quot;width:148.8pt;&quot;}" width="198" valign="top" |'''Dosierung'''
-| style="width:70.6pt;" width="94" valign="top" data-ve-attributes="{&quot;style&quot;:&quot;width:70.6pt;&quot;}" |Dauer
+! style="width:70.6pt;" class="col-grey-light-bg" data-ve-attributes="{&quot;style&quot;:&quot;width:70.6pt;&quot;}" width="94" valign="top" |'''Dauer'''
 |- style="mso-yfti-irow:1" data-ve-attributes="{&quot;style&quot;:&quot;mso-yfti-irow:1&quot;}"
-| style="width:106.1pt;" width="141" valign="top" data-ve-attributes="{&quot;style&quot;:&quot;width:106.1pt;&quot;}" |Vulvitis pustulosa
+| style="width:106.1pt;" data-ve-attributes="{&quot;style&quot;:&quot;width:106.1pt;&quot;}" width="141" valign="top" |Vulvitis pustulosa
-| style="width:5.0cm;" width="189" valign="top" data-ve-attributes="{&quot;style&quot;:&quot;width:5.0cm;&quot;}" |Cefuroxim
+| style="width:5.0cm;" data-ve-attributes="{&quot;style&quot;:&quot;width:5.0cm;&quot;}" width="189" valign="top" |Cefuroxim
-''<span class="ve-pasteProtect" style="font-size:10.0pt" data-ve-attributes="{&quot;style&quot;:&quot;font-size:10.0pt&quot;}">alternativ:</span>''
+<span class="ve-pasteProtect" style="font-size:10.0pt" data-ve-attributes="{&quot;style&quot;:&quot;font-size:10.0pt&quot;}">alternativ:</span>
 Clindamycin
-| style="width:148.8pt;" width="198" valign="top" data-ve-attributes="{&quot;style&quot;:&quot;width:148.8pt;&quot;}" |''3 x 500mg p.o.''
+| style="width:148.8pt;" data-ve-attributes="{&quot;style&quot;:&quot;width:148.8pt;&quot;}" width="198" valign="top" |3 x 500mg p.o.
-''2 x 300mg p.o.''
+x 300mg p.o.
-| style="width:70.6pt;" width="94" valign="top" data-ve-attributes="{&quot;style&quot;:&quot;width:70.6pt;&quot;}" |5 Tage
+| style="width:70.6pt;" data-ve-attributes="{&quot;style&quot;:&quot;width:70.6pt;&quot;}" width="94" valign="top" |5 Tage
 |- style="mso-yfti-irow:2" data-ve-attributes="{&quot;style&quot;:&quot;mso-yfti-irow:2&quot;}"
-| style="width:106.1pt;" width="141" valign="top" data-ve-attributes="{&quot;style&quot;:&quot;width:106.1pt;&quot;}" |Furunkel/Karbunkel
+| style="width:106.1pt;" data-ve-attributes="{&quot;style&quot;:&quot;width:106.1pt;&quot;}" width="141" valign="top" |Furunkel / Karbunkel
-| style="width:5.0cm;" width="189" valign="top" data-ve-attributes="{&quot;style&quot;:&quot;width:5.0cm;&quot;}" |''i.d.R. keine antibiotische Therapie  notwendig''
+| style="width:5.0cm;" data-ve-attributes="{&quot;style&quot;:&quot;width:5.0cm;&quot;}" width="189" valign="top" |I.d.R. keine antibiotische Therapie  notwendig
 falls doch:
 Cefuroxim
-''<span class="ve-pasteProtect" style="font-size:10.0pt" data-ve-attributes="{&quot;style&quot;:&quot;font-size:10.0pt&quot;}">alternativ:</span>''
+<span class="ve-pasteProtect" style="font-size:10.0pt" data-ve-attributes="{&quot;style&quot;:&quot;font-size:10.0pt&quot;}">alternativ:</span>
 Clindamycin
-| style="width:148.8pt;" width="198" valign="top" data-ve-attributes="{&quot;style&quot;:&quot;width:148.8pt;&quot;}" |3 x 500mg p.o.
+| style="width:148.8pt;" data-ve-attributes="{&quot;style&quot;:&quot;width:148.8pt;&quot;}" width="198" valign="top" |3 x 500mg p.o.
 x 300mg p.o
-| style="width:70.6pt;" width="94" valign="top" data-ve-attributes="{&quot;style&quot;:&quot;width:70.6pt;&quot;}" |5 Tage
+| style="width:70.6pt;" data-ve-attributes="{&quot;style&quot;:&quot;width:70.6pt;&quot;}" width="94" valign="top" |5 Tage
 |- style="mso-yfti-irow:3" data-ve-attributes="{&quot;style&quot;:&quot;mso-yfti-irow:3&quot;}"
-| style="width:106.1pt;" width="141" valign="top" data-ve-attributes="{&quot;style&quot;:&quot;width:106.1pt;&quot;}" |Vulvitis durch
+| style="width:106.1pt;" data-ve-attributes="{&quot;style&quot;:&quot;width:106.1pt;&quot;}" width="141" valign="top" |Vulvitis durch
 A-Streptokokken
-| style="width:5.0cm;" width="189" valign="top" data-ve-attributes="{&quot;style&quot;:&quot;width:5.0cm;&quot;}" |Penicillin V oder
+| style="width:5.0cm;" data-ve-attributes="{&quot;style&quot;:&quot;width:5.0cm;&quot;}" width="189" valign="top" |Penicillin V oder
 Amoxicillin oder
 Cefpodoxim
-''<span class="ve-pasteProtect" style="font-size:10.0pt" data-ve-attributes="{&quot;style&quot;:&quot;font-size:10.0pt&quot;}">alternativ</span>'':
+<span class="ve-pasteProtect" style="font-size:10.0pt" data-ve-attributes="{&quot;style&quot;:&quot;font-size:10.0pt&quot;}">alternativ</span>:
 Clindamycin
-| style="width:148.8pt;" width="198" valign="top" data-ve-attributes="{&quot;style&quot;:&quot;width:148.8pt;&quot;}" |3 x 1 Mio bis 1,5 Mio IE p.o.
+| style="width:148.8pt;" data-ve-attributes="{&quot;style&quot;:&quot;width:148.8pt;&quot;}" width="198" valign="top" |3 x 1 Mio bis 1,5 Mio IE p.o.
 x 1000mg p.o.
@@ Zeile 87: / Zeile 104: @@
 x 300mg p.o.
-| style="width:70.6pt;" width="94" valign="top" data-ve-attributes="{&quot;style&quot;:&quot;width:70.6pt;&quot;}" |10 Tage
+| style="width:70.6pt;" data-ve-attributes="{&quot;style&quot;:&quot;width:70.6pt;&quot;}" width="94" valign="top" |10 Tage
 Tage
@@ Zeile 94: / Zeile 111: @@
 Tage
 |- style="mso-yfti-irow:4" data-ve-attributes="{&quot;style&quot;:&quot;mso-yfti-irow:4&quot;}"
-| style="width:106.1pt;" width="141" valign="top" data-ve-attributes="{&quot;style&quot;:&quot;width:106.1pt;&quot;}" |Erythrasma
+| style="width:106.1pt;" data-ve-attributes="{&quot;style&quot;:&quot;width:106.1pt;&quot;}" width="141" valign="top" |Erythrasma
-| style="width:5.0cm;" width="189" valign="top" data-ve-attributes="{&quot;style&quot;:&quot;width:5.0cm;&quot;}" |Imidazol-Derivat lokal
+| style="width:5.0cm;" data-ve-attributes="{&quot;style&quot;:&quot;width:5.0cm;&quot;}" width="189" valign="top" |Imidazol-Derivat lokal
 Tetracyclin lokal
-| style="width:148.8pt;" width="198" valign="top" data-ve-attributes="{&quot;style&quot;:&quot;width:148.8pt;&quot;}" |
+| style="width:148.8pt;" data-ve-attributes="{&quot;style&quot;:&quot;width:148.8pt;&quot;}" width="198" valign="top" |
-| style="width:70.6pt;" width="94" valign="top" data-ve-attributes="{&quot;style&quot;:&quot;width:70.6pt;&quot;}" |
+| style="width:70.6pt;" data-ve-attributes="{&quot;style&quot;:&quot;width:70.6pt;&quot;}" width="94" valign="top" |
 |- style="mso-yfti-irow:5" data-ve-attributes="{&quot;style&quot;:&quot;mso-yfti-irow:5&quot;}"
-| style="width:106.1pt;" width="141" valign="top" data-ve-attributes="{&quot;style&quot;:&quot;width:106.1pt;&quot;}" |Bartholinitis
+| style="width:106.1pt;" data-ve-attributes="{&quot;style&quot;:&quot;width:106.1pt;&quot;}" width="141" valign="top" |Bartholinitis
-''<span class="ve-pasteProtect" style="color: red" data-ve-attributes="{&quot;style&quot;:&quot;color: red&quot;}">nur bei schweren  Verläufen</span>''
+<span class="col-black">nur bei schweren  Verläufen</span>
-| style="width:5.0cm;" width="189" valign="top" data-ve-attributes="{&quot;style&quot;:&quot;width:5.0cm;&quot;}" |Amoxicillin
+| style="width:5.0cm;" data-ve-attributes="{&quot;style&quot;:&quot;width:5.0cm;&quot;}" width="189" valign="top" |Amoxicillin
-''plus''
+plus
 Metronidazol
-''bei Gonokokken-Nachweis''
+bei Gonokokken-Nachweis
 Ceftriaxon
-| style="width:148.8pt;" width="198" valign="top" data-ve-attributes="{&quot;style&quot;:&quot;width:148.8pt;&quot;}" |3 x 2000 mg p.o.
+| style="width:148.8pt;" data-ve-attributes="{&quot;style&quot;:&quot;width:148.8pt;&quot;}" width="198" valign="top" |3 x 2000 mg p.o.
 x 500 mg p.o.
 x 2000 mg i.v.
-| style="width:70.6pt;" width="94" valign="top" data-ve-attributes="{&quot;style&quot;:&quot;width:70.6pt;&quot;}" |7 Tage
+| style="width:70.6pt;" data-ve-attributes="{&quot;style&quot;:&quot;width:70.6pt;&quot;}" width="94" valign="top" |7 Tage
 Tage
 |- style="mso-yfti-irow:6" data-ve-attributes="{&quot;style&quot;:&quot;mso-yfti-irow:6&quot;}"
-| style="width:106.1pt;" width="141" valign="top" data-ve-attributes="{&quot;style&quot;:&quot;width:106.1pt;&quot;}" |Kolpitis
+| style="width:106.1pt;" data-ve-attributes="{&quot;style&quot;:&quot;width:106.1pt;&quot;}" width="141" valign="top" |Kolpitis
-- Trichomoniasis
-| style="width:5.0cm;" width="189" valign="top" data-ve-attributes="{&quot;style&quot;:&quot;width:5.0cm;&quot;}" |Metronidazol
+*Trichomoniasis
-| style="width:148.8pt;" width="198" valign="top" data-ve-attributes="{&quot;style&quot;:&quot;width:148.8pt;&quot;}" |1 x 2000mg p.o.
+| style="width:5.0cm;" data-ve-attributes="{&quot;style&quot;:&quot;width:5.0cm;&quot;}" width="189" valign="top" |Metronidazol
-| style="width:70.6pt;" width="94" valign="top" data-ve-attributes="{&quot;style&quot;:&quot;width:70.6pt;&quot;}" |1 Tag
+| style="width:148.8pt;" data-ve-attributes="{&quot;style&quot;:&quot;width:148.8pt;&quot;}" width="198" valign="top" |1 x 2000mg p.o.
+| style="width:70.6pt;" data-ve-attributes="{&quot;style&quot;:&quot;width:70.6pt;&quot;}" width="94" valign="top" |1 Tag
 |- style="mso-yfti-irow:7" data-ve-attributes="{&quot;style&quot;:&quot;mso-yfti-irow:7&quot;}"
-| style="width:106.1pt;" width="141" valign="top" data-ve-attributes="{&quot;style&quot;:&quot;width:106.1pt;&quot;}" |Kolpitis
+| style="width:106.1pt;" data-ve-attributes="{&quot;style&quot;:&quot;width:106.1pt;&quot;}" width="141" valign="top" |Kolpitis
-- ohne Erregernachweis
-| style="width:5.0cm;" width="189" valign="top" data-ve-attributes="{&quot;style&quot;:&quot;width:5.0cm;&quot;}" |Clindamycin
+*ohne Erregernachweis
-| style="width:148.8pt;" width="198" valign="top" data-ve-attributes="{&quot;style&quot;:&quot;width:148.8pt;&quot;}" |5g 2%ige Vaginalcreme
+| style="width:5.0cm;" data-ve-attributes="{&quot;style&quot;:&quot;width:5.0cm;&quot;}" width="189" valign="top" |Clindamycin
-| style="width:70.6pt;" width="94" valign="top" data-ve-attributes="{&quot;style&quot;:&quot;width:70.6pt;&quot;}" |1 Tag
+| style="width:148.8pt;" data-ve-attributes="{&quot;style&quot;:&quot;width:148.8pt;&quot;}" width="198" valign="top" |5g 2%ige Vaginalcreme
+| style="width:70.6pt;" data-ve-attributes="{&quot;style&quot;:&quot;width:70.6pt;&quot;}" width="94" valign="top" |1 Tag
 |- style="mso-yfti-irow:8" data-ve-attributes="{&quot;style&quot;:&quot;mso-yfti-irow:8&quot;}"
-| style="width:106.1pt;" width="141" valign="top" data-ve-attributes="{&quot;style&quot;:&quot;width:106.1pt;&quot;}" |Kolpitis
+| style="width:106.1pt;" data-ve-attributes="{&quot;style&quot;:&quot;width:106.1pt;&quot;}" width="141" valign="top" |Kolpitis
-- A-Streptokokken
-| style="width:5.0cm;" width="189" valign="top" data-ve-attributes="{&quot;style&quot;:&quot;width:5.0cm;&quot;}" |Penicillin V oder
+*A-Streptokokken
+| style="width:5.0cm;" data-ve-attributes="{&quot;style&quot;:&quot;width:5.0cm;&quot;}" width="189" valign="top" |Penicillin V oder
 Amoxicillin oder
 Cefpodoxim
-''<span class="ve-pasteProtect" style="font-size:10.0pt" data-ve-attributes="{&quot;style&quot;:&quot;font-size:10.0pt&quot;}">alternativ</span>'':
+<span class="ve-pasteProtect" style="font-size:10.0pt" data-ve-attributes="{&quot;style&quot;:&quot;font-size:10.0pt&quot;}">alternativ</span>:
 Clindamycin
-| style="width:148.8pt;" width="198" valign="top" data-ve-attributes="{&quot;style&quot;:&quot;width:148.8pt;&quot;}" |3 x 1 Mio bis 1,5 Mio IE p.o.
+| style="width:148.8pt;" data-ve-attributes="{&quot;style&quot;:&quot;width:148.8pt;&quot;}" width="198" valign="top" |3 x 1 Mio bis 1,5 Mio IE p.o.
 x 1000mg p.o.
@@ Zeile 145: / Zeile 170: @@
 x 300mg p.o.
-| style="width:70.6pt;" width="94" valign="top" data-ve-attributes="{&quot;style&quot;:&quot;width:70.6pt;&quot;}" |10 Tage
+| style="width:70.6pt;" data-ve-attributes="{&quot;style&quot;:&quot;width:70.6pt;&quot;}" width="94" valign="top" |10 Tage
 Tage
@@ Zeile 151: / Zeile 176: @@
 Tage
-|- style="mso-yfti-irow:9;mso-yfti-lastrow:yes" data-ve-attributes="{&quot;style&quot;:&quot;mso-yfti-irow:9;mso-yfti-lastrow:yes&quot;}"
-| style="width:106.1pt;" width="141" valign="top" data-ve-attributes="{&quot;style&quot;:&quot;width:106.1pt;&quot;}" |
-| style="width:5.0cm;" width="189" valign="top" data-ve-attributes="{&quot;style&quot;:&quot;width:5.0cm;&quot;}" |
-| style="width:148.8pt;" width="198" valign="top" data-ve-attributes="{&quot;style&quot;:&quot;width:148.8pt;&quot;}" |
-| style="width:70.6pt;" width="94" valign="top" data-ve-attributes="{&quot;style&quot;:&quot;width:70.6pt;&quot;}" |
 |}<br />