González-Pedraza Avilés A, Ortiz Zaragoza C, Inzunza Montiel A E, Ponce-Rosas E R
Centro de Salud José Castro Villagrana, Universidad Nacional Autónoma México, México, D.F.
Aten Primaria. 1998 Apr 15;21(6):395-8.
To assess the frequency of Candida species others than Candida albicans isolation, in patients with chronic as well as relapsing vaginitis. To analyze the clinical pictures and the treatments routinely employed in patients with Candida albicans infection, compared to those with other Candida species infection, in a Primary Care Clinic.
Prospective, comparative, transverse study.
Primary health center from January, 1995 to May, 1997.
Two hundred and thirty four women (234) in ages between 16 and 55 years, with cervicovaginitis and a positive culture to any species of Candida, were the subject of the present study.
From the total of 234 patients studied, 142 (60.5%) were infected by Candida albicans and 92 (39.5%) by other Candida species; no difference in symptomatology was recorded in both groups. Nistatine alone or combined with imidazole derivatives were the antimycotics more commonly employed, with Candida albicans resistance of 9.6% in the first case and 11.2% in the second one.
It is stressed the importance that has the identification of Candida species causing vaginitis. It is also acknowledged the well handled treatment, despite of the species to be treated.
评估慢性及复发性阴道炎患者中白色念珠菌以外的念珠菌属分离频率。分析初级保健诊所中白色念珠菌感染患者与其他念珠菌属感染患者的临床症状及常规治疗方法。
前瞻性、对比性横断面研究。
1995年1月至1997年5月的初级卫生保健中心。
本研究对象为234名年龄在16至55岁之间、患有宫颈阴道炎且念珠菌培养呈阳性的女性。
在总共234名研究患者中，142名（60.5%）感染白色念珠菌，92名（39.5%）感染其他念珠菌属；两组症状学无差异。单独使用制霉菌素或与咪唑衍生物联合使用是最常用的抗真菌药物，白色念珠菌对第一种情况的耐药率为9.6%，对第二种情况的耐药率为11.2%。
强调鉴定引起阴道炎的念珠菌属的重要性。尽管要治疗的念珠菌种类不同，但也认可治疗得当。
