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In 2013, revisions were made to the Gonococcal Infections chapter in response to emerging antimicrobial resistance. Defined as recurrent VVC, severe VVC, a non-albicans species or occurring in a compromised host.
Creatsas GC, Charalambidis VM, Zagotzidou EH, Anthopoulou HN, Michailidis DC, Aravantinos DI.

Asian countries,[18] United States (including Hawaii), Canada ,[19] and Scotland)[20] due to bacterial resistance. A Supplementary Statement has been developed to highlight key changes in the diagnosis, management and follow-up for Vaginal Discharge until such time as the full chapter revision is available. This Supplementary Statement should be used in conjunction with the 2010 chapter to ensure that the most current recommendations are being implemented in your practice.

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