Clinical, epidemiological and laboratory study of vulvovaginitis associated with yeasts in women older than 15 years of the city of Leon, Nicaragua.
DOI:
https://doi.org/10.5377/universitas.v6i1.13716Keywords:
Candida, Saccharomyces cerevisiae, Candidiasis vulvovaginal, EpidemiologyAbstract
Vaginal infections occur in 75% of women. This study aims to describe the clinical, epidemiological and laboratory characteristics of vulvovaginitis associated with yeast in women over 15 years of age. A total of 391 samples of vaginal exudates were cultured and analyzed with the Rapid Yeast Plus System (oxoid) method. A frequency of yeasts of 27% was obtained, being more frequent in women of 15 to 30 years of age (34%, p = 0.002), with level of education of average technician or superior (38%), marital status "accompanied" (30%) and with other occupations (35%). The main predisposing factors identified were: pregnancy (36%), diabetes (54%), use of contraceptives (43%), use of nylon or tight underwear (31%) and having presented 2-4 episodes of vaginitis in the last year (53%). The clinical manifestations presented were: itching (55%), burning and burning sensation (48%) and irritation (39%), with a whitish color flow (97%), homogeneous appearance (77%) and moderate amount ( 39%). We identified: C.albicans (70%), C.glabrata (19%), S.cerevisiae (4%), C. parapsilosis (3%), C. krusei (2%), C. tropicalis (1%) and T. asahii (1%). C. glabrata was more common in women older than 61 years and the other species in women between 15-45 years of age. C. krusei, S. cerevisiae, C. glabrata and C. albicans were isolated from patients with recurrent vaginitis. It is recommended to carry out the antifungal resistance profile.
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