Affordable Access

Publisher Website

An epidemiological survey of vulvovaginal candidiasis in Italy

Authors
Journal
European Journal of Obstetrics & Gynecology and Reproductive Biology
0301-2115
Publisher
Elsevier
Publication Date
Volume
110
Issue
1
Identifiers
DOI: 10.1016/s0301-2115(03)00096-4
Keywords
  • Candida
  • Hiv
  • Vulvovaginal Candidiasis
Disciplines
  • Ecology
  • Medicine

Abstract

Abstract Eight Italian hospital or University gynecology clinics participated in a prospective survey of patients with culture-confirmed symptomatic vulvovaginal candidiasis (VVC) (October 1999 to March 2001). Of 1138 patients recruited in the study, 931 were evaluable. A recent history of VVC was documented in 43.5% patients (358/823) with a mean number of 2.9±2.7 episodes per patient ( N=302). A total of 77 patients (10.0%) had a history of recurrent VVC (four and more episodes in a 12-month period). The most frequent associated factors were related to life style: synthetic fabric underwear, vaginal douching and bike, training bike and motorbike (about 1/3 each). Oral contraception was found in 20.8% patients, recent antibiotic use in 15.9% patients, current pregnancy concerned 10.3% patients while 3.4% patients were taking hormonal replacement therapy. Diabetes, corticosteroids or HIV were rarely encountered. Yeast was documented by direct microscopy in 78.3% patients (448/572). A positive culture was obtained in 98.3% patients (909/925). Candida albicans was the predominant species (77.1%), followed by Candida glabrata (14.6%) and Candida krusei (4.0%). With the exception of one center with a lower proportion of C. albicans, this latter represented between 75 and 85% of the isolates. Overall, this study confirmed the preponderant role played by C. albicans in either sporadic and recurrent VVC .

There are no comments yet on this publication. Be the first to share your thoughts.

Statistics

Seen <100 times
0 Comments

More articles like this

An epidemiological survey of vulvovaginal candidia...

on European Journal of Obstetrics... Sep 10, 2003

An epidemiological survey of bacterial vaginosis,...

on European Journal of Obstetrics... Jan 01, 2010

An epidemiological study of vulvovaginal candidias...

on Indian journal of medical micr... April 2007
More articles like this..