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.

An epidemiological survey of vulvovaginal candidiasis in Italy / Corsello, S.; Spinillo, A.; Onsengo, G.; Penna, C.; Guaschino, S.; Beltrame, A.; Blasi, N.; G. Tempera S. Corsello, A. Festa. Other Collaborators: E. Cammarata; Spinillo, A.; Onsengo, G.; Penna, C.; Guaschino, S.; Beltrame, A.; Blasi, N.; Festa, A.; Cammarata, E.; Tempera, G.; Bergante, C.; Biancheri, D.; Bordonaro, P.; Fallani, M.G.; Fambrini, M.; Busetti, M.; Campello, C.; De Seta F Panerari, F. De Seta F. Panerari; Strazzanti, C.; Foresti, I.; Matteelli, A.; Borraccino, V.; Caggiano, G.; Lepera, A.; Montagna, M.T.; Noya, E.; Dente, B.; Ferrari, A.; Dang, P. .. - In: EUROPEAN JOURNAL OF OBSTETRICS, GYNECOLOGY, AND REPRODUCTIVE BIOLOGY. - ISSN 0301-2115. - ELETTRONICO. - 110:(2003), pp. 66-72.

An epidemiological survey of vulvovaginal candidiasis in Italy.

GUASCHINO, SECONDO;FALLANI, MARIA GRAZIA;FAMBRINI, MASSIMILIANO;
2003

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.
2003
110
66
72
Corsello, S.; Spinillo, A.; Onsengo, G.; Penna, C.; Guaschino, S.; Beltrame, A.; Blasi, N.; G. Tempera S. Corsello, A. Festa. Other Collaborators: E. Cammarata; Spinillo, A.; Onsengo, G.; Penna, C.; Guaschino, S.; Beltrame, A.; Blasi, N.; Festa, A.; Cammarata, E.; Tempera, G.; Bergante, C.; Biancheri, D.; Bordonaro, P.; Fallani, M.G.; Fambrini, M.; Busetti, M.; Campello, C.; De Seta F Panerari, F. De Seta F. Panerari; Strazzanti, C.; Foresti, I.; Matteelli, A.; Borraccino, V.; Caggiano, G.; Lepera, A.; Montagna, M.T.; Noya, E.; Dente, B.; Ferrari, A.; Dang, P. .
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