A prospective observational study of vulvovagintis in pregnant women in Argentina, with special reference to candidiasis.

MUCCI J; CUESTAS ML; CERVETTO MM; LANDABURU MF; MUJICA MT

MYCOSES

WILEY-BLACKWELL PUBLISHING, INC

Lugar: Londres; Año: 2016

0933-7407

To evaluate the frequency of yeast, bacteria or protozoa in pregnant women and tocorrelate the possible associations of these microorganisms and their relationshipswith vulvovaginitis (VV) and cervicitis. Vaginal specimens were collected and preparedfor smears in microscope slides for the evaluation of yeast, Trichomonas vaginalisand bacteria. Samples were cultured in specific culture medium. Cervicalspecimens were used to investigate the presence of Neisseria gonorrhoeae, Chlamydiatrachomatis, Ureaplasma spp. and Mycoplasma hominis. We enrolled 210 pregnantwomen, aged 10?42 years old. Of them, 38.1% were symptomatic. Symptoms weremost prevalent in the second and third trimesters of pregnancy coincident with amajor prevalence of microorganisms. In this study, 39.5% of pregnant women hadnormal microbial biota and symptoms of VV due to non-infectious causes wereobserved (6.2%). The occurrence of vulvovaginal candidiasis was 25% and Candidaalbicans with a prevalence of 80.7% was the dominant species (P = 0.005) whilenon-albicans Candida species and other yeast were more common in asymptomaticones (P = 0.0038). The frequency of bacterial vaginosis, T. vaginalis, C. trachomatisand N. gonorrhoeae were 18.1%, 1.4, 1.4% and 0.5% respectively.