General Practice and Primary Health Care Academic Centre, University of Melbourne, Australia.
Complement Ther Med. 2012 Aug;20(4):218-21. doi: 10.1016/j.ctim.2012.01.004. Epub 2012 Feb 22.
The mainstream long term management of recurrent vulvovaginal candidiasis (RVVC) often results in poor outcomes. It is expensive and unacceptable for many women who therefore have incorporated complementary and alternative medicine (CAM) into their personal care plan.
To ascertain clinicians' knowledge of CAM and their recommendations for the use of CAM and non-pharmacological management in women with RVVC.
Anonymous, single page, self completed survey using convenience sampling at a vulval disorders meeting in New South Wales, Australia in 2009.
Sixty six health professionals (medical practitioners, dermatologists, nurses and allied health professionals).
Most clinicians reported asking about their patients' use of CAM and non-pharmacological management of RVVC, although only around half reported recommending it. CAM management included lactobacillus, oral and vaginal yoghurt, vinegar, garlic, Chinese medicine and tea-tree oil. Non-pharmacological management included dietary changes and use of cotton undergarments. Lactobacillus was the most commonly recommended CAM.
CAM is popular with patients and many clinicians actively recommend its use in RVVC despite limited supporting evidence. Further research in the area of CAM and RVVC is long overdue.
复发性外阴阴道念珠菌病（RVVC）的主流长期管理方法往往效果不佳。对于许多女性来说，这种方法既昂贵又难以接受，因此她们将补充和替代医学（CAM）纳入了个人护理计划。
确定临床医生对 CAM 的了解程度，以及他们对 CAM 和非药物管理在 RVVC 女性中的应用的建议。
2009 年在澳大利亚新南威尔士州举行的外阴疾病会议上，使用便利抽样法对 66 名卫生专业人员（医生、皮肤科医生、护士和辅助医疗专业人员）进行匿名、单页、自我完成的调查。
66 名卫生专业人员（医生、皮肤科医生、护士和辅助医疗专业人员）。
大多数临床医生报告说会询问患者对 CAM 和 RVVC 非药物管理的使用情况，但只有大约一半的人报告建议使用。CAM 管理包括乳酸杆菌、口服和阴道酸奶、醋、大蒜、中药和茶树油。非药物管理包括饮食改变和使用棉质内衣。乳酸杆菌是最常被推荐的 CAM。
CAM 深受患者欢迎，尽管缺乏支持证据，但许多临床医生仍积极推荐在 RVVC 中使用。在 CAM 和 RVVC 领域的进一步研究早已是当务之急。
