Prevalence and management of non-albicans vaginal candidiasis.
نویسندگان
چکیده
OBJECTIVES It is thought that widespread use of 'over-the-counter' azoles may increase the incidence of resistant Candida species such as Candida glabrata. Infections with species other than Candida albicans frequently do not respond to standard azole treatments. Intravaginal nystatin is an option but is no longer available in the UK. In this paper, the authors review the prevalence of non-albicans candida over the past 5 years, and assess the efficacy of amphotericin and flucytosine vaginal cream in the treatment of non-albicans VVC. METHODS Retrospective review of all vaginal yeast isolates collected from women attending a city centre sexual-health clinic between 2004 and 2008. The women prescribed amphotericin and flucytosine vaginal cream were identified through pharmacy records, and their clinical notes reviewed for treatment outcome. RESULTS Between 2004 and 2008, the number of isolates of all Candida species increased with increasing clinic workload, but the prevalence of non-albicans yeasts remained stable at between 0.87 and 1.06%. Eighteen patients were prescribed amphotericin and flucytosine vaginal cream. At follow-up, all 18 were clear of their initial yeast isolate on culture, but two had persistent symptoms and had positive cultures for C albicans. CONCLUSIONS There is no evidence of any increase in prevalence of non-albicans Candida species such as C glabrata. The authors have treated 18 women who had non-albicans VVC with amphotericin and flucytosine vaginal cream and achieved clearance of the non-albicans species in all of them.
منابع مشابه
The Determination of Vaginal Candidiasis inWomen Referred to Shahid Rajaei Hospital in Tonekabon(2009-2010)
Abstract Background and objectives: Genital tract infections are among the most common causes of patients referred to therapeutic centers. Nearly 75% of women suffer from genital Candida infection, at least once in their lifetime. The aim of present study was detection of Candida species causing vaginitis and the evaluation of antimycotic effects of ketoconazol, clotrimazole and fluconazole aga...
متن کاملComparison of sensitivity to fluconazole and itraconazole in patients with vaginal candidiasis referred to hospitals of Islamic Azad University, Tehran Medical Sciences
Background: Vaginal candidiasis is a common cause of vaginal infections. Currently, for treatment of these infections, fluconazole is prescribed more than other drugs; so determining the drug resistance of Candida to fluconazole and comparing it with itraconazole as a substitute has been one of the main objectives of this study. Materials and methods: Of 180 patients with symptoms of vaginal c...
متن کاملشناسایی گونههای کاندیدا در بیماران مبتلا به ولوواژینیت کاندیدایی و ارتباط آن با علایم بالینی متفاوت
Background and Objective: Candidiasis is one of the most important and common agents of vulvovaginitis in women. Various clinical manifestations of candidiasis in patients may be associated with different species of Candida. The present study was designed to accurately determine Candida species isolates from patients using culture methods and molecular analysis. Materials and Methods: In this c...
متن کاملComparison of Boric Acid with Clotrimazole in the Treatment of Recurrent or Resistant Vulvovaginitis Caused by Non-Albicans Species of Candida
Background: Vulvovaginal candidiasis is one of the most common infections in gynecologic filed, and non–albicans Candida species are emerging causative microorganisms. This species shows resistance to routine treatments. One of the suggested treatments is administration of vaginal suppositories of boric acid. The aim of the present study was to compare boric acid with clotrimazole in the treatm...
متن کاملPrevalence of Non albicans Candida Vaginal Infection among Women Attending the Obstetrics and Gynaecology Department of a Tertiary care Hospital
Vulvovaginal Candidiasis (VVC) represents a spectrum of disease. Although it is the second most common vaginal infection, VVC is a non notifiable disease and has been excluded from the ranks of sexually transmitted diseases. For many years patients with vaginal Candida were categorized into two groups: Asymptomatic carriers of Candida (colonization) and Symptomatic disease (Vaginal Candidiasis)...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Sexually transmitted infections
دوره 86 2 شماره
صفحات -
تاریخ انتشار 2010