Role of dual therapy on the repeated episode of vulvovaginal candidiasis

Authors

  • Iu. V. Davydova SI «Institute of Pediatrics, Obstetrics and Gynecology after named academician О.М. Lukyanova of the NAMS of Ukraine», Kyiv, Ukraine https://orcid.org/0000-0001-9747-1738
  • A. Yu. Limanskaya SI «Institute of Pediatrics, Obstetrics and Gynecology after named academician О.М. Lukyanova of the NAMS of Ukraine», Kyiv, Ukraine https://orcid.org/0000-0003-0639-7005
  • O. M. Kravets SI «Institute of Pediatrics, Obstetrics and Gynecology after named academician О.М. Lukyanova of the NAMS of Ukraine», Kyiv, Ukraine
  • A. A. Tarnavska SI «Institute of Pediatrics, Obstetrics and Gynecology after named academician О.М. Lukyanova of the NAMS of Ukraine», Kyiv, Ukraine

DOI:

https://doi.org/10.15574/PP.2020.81.27

Keywords:

pregnancy, vulvovaginal candidiasis, dual treatment

Abstract

Vulvovaginal candidiasis (VVC) is one of the most common infections of female genital tract and is mainly associated with Candida albicans, different types of Candida are found in 10–20% of healthy women of childbearing age in the genitourinary organs. Currentl, the factors that influence the evolution of yeast infection from colonization to clinical symptoms, including susceptibility, inflammatory reactions, and imbalance of vaginal microbiota, are being studied. 75% of women experience an repeated episode of VVC, and 5–10% of women experience recurrent vulvovaginal candidiasis. During pregnancy, candidiasis of the genitourinary organs occurs 2–3 times more often than in non-pregnant women.
Purpose — to conduct an analysis of the effectiveness of the dual therapy influence on the recurrent episode of vaginal candidiasis.
Patients and methods. We examined and treated 52 women who had a first episode of candidiasis during pregnancy (they received short-term treatment) and next episode in the first three months of the postpartum period. The cultural method and the microscopy of a vaginal smear, gram-stained, were performed, revealed the microflora which accompanies fungi, that influenced on the choice of rational aetiotropic therapy. In all 52 women we revealed different strains: C. albicans (92.3%), C. glabrata (3.8%), C. crusei (1.9%), C. dubliniensis (1.9%), as well as the presence of pathological flora, a significant reduction of lactobacilli levels.
Results. Given the potentially threatening effects of candidiasis on pregnancy and the fetus, it is essential to effectively treat the first acute episode of pregnancy during pregnancy, which is possible if adequate examination is made to select the drug correctly and to determine the duration of treatment.
Conclusions. Carrying out dual (combined vaginal tablets and multistrain probiotic) therapy with a compound action on mixed infection and maintaining its effectiveness with accompanying therapy has a proven patient satisfaction rate of 96.2%.
The research was carried out in accordance with the principles of the Helsinki Declaration. The study protocol was approved by the Local Ethics Committee of this Institute. The informed consent of the patient was obtained for conducting the studies.
No conflict of interest were declared by the authors.

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No. 1(81) (2020): Ukrainian Journal of Perinatology and Pediatrics

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