Carcio H A, Secor R M
Nurse Pract Forum. 1992 Sep;3(3):135-44.
Vulvovaginal candidiasis (VVC) is one of the most common reasons a woman may visit her medical provider. In fact, vaginal complaints account for 10% of all visits each year, with the occurrence of VVC nearly doubling in the past ten years. The diagnosis of VVC is usually straightforward and the majority of patients readily respond to treatment with local antifungal therapy. However, 5% to 25% of these patients relapse, suffering recurrent symptoms within 1 to 3 months of treatment. The chronicity of these candidal infections becomes very frustrating to both patient and provider. The cause may be unclear and the course of treatment unsubstantiated in medical literature. Therefore, to minimize recurrence clinicians must always use a systematic approach to diagnosis, treatment, and follow-up for acute and chronic vulvovaginal candidiasis.
外阴阴道念珠菌病（VVC）是女性就医的最常见原因之一。事实上，阴道问题占每年所有就诊病例的10%，在过去十年中VVC的发病率几乎翻了一番。VVC的诊断通常很简单，大多数患者对局部抗真菌治疗反应良好。然而，这些患者中有5%至25%会复发，在治疗后的1至3个月内出现反复症状。这些念珠菌感染的慢性化对患者和医生来说都非常令人沮丧。病因可能不明，治疗过程在医学文献中也缺乏依据。因此，为了尽量减少复发，临床医生必须始终采用系统的方法来诊断、治疗和随访急性和慢性外阴阴道念珠菌病。
