Watson Cathy, Pirotta Marie
General Practice and Primary Health Care Academic Centre, University of Melbourne, Victoria, Australia.
Aust Fam Physician. 2011 Mar;40(3):149-51.
Management of recurrent vulvovaginal candidiasis can be problematic, and current guidelines are limited by scant evidence.
The authors found no research on how clinicians manage this condition and whether existing guidelines were followed. To ascertain how recurrent vulvovaginal candidiasis is managed in current clinical practice, a survey was conducted of delegates at a seminar for health professionals with a special interest in vulval conditions.
Of the 160 delegates 66 completed the survey, providing a response rate of 41%. The authors found little adherence to current guidelines - only 50% reported using the recommended suppression and maintenance therapy, and only 57% reported using confirmatory diagnostic testing.
The wide variation in health professionals' management of recurrent vulvovaginal candidiasis reflects the difficulty in treating and managing this condition. The results suggest that clinicians are 'tailoring' treatment to their patients due to a lack of good evidence of effective treatments to guide them.
复发性外阴阴道念珠菌病的管理可能存在问题，当前指南因证据不足而受限。
作者未发现关于临床医生如何处理这种情况以及是否遵循现有指南的研究。为确定当前临床实践中如何管理复发性外阴阴道念珠菌病，对一个专门关注外阴疾病的健康专业人员研讨会上的与会代表进行了一项调查。
160名代表中，66人完成了调查，回复率为41%。作者发现对当前指南的遵循情况不佳——只有50%的人报告使用推荐的抑制和维持疗法，只有57%的人报告使用确诊诊断测试。
健康专业人员对复发性外阴阴道念珠菌病的管理差异很大，这反映了治疗和管理这种疾病的困难。结果表明，由于缺乏有效的治疗证据来指导他们，临床医生正在为患者“量身定制”治疗方案。
