ولوواژنیت کاندیدایی در مراجعین به درمانگاههای زنان شهرستان ساری درسال ۱۳۷۲-۱۳۷3

ABSTRACT: Candida Vulvovaginitis is one of the most common infections of women . 20-30 percent of vulvovaginal infection with severe pruritis are caused by candida Approximaterly 75 percent of women will eventually acquire this infection in their lives. In the period of 1993-94, a total OF 1015 women were chosen in random from outpatients. The vaginal discharge specimens were taken by swab and examined for existence of yeast . Data about clinical and pelvic examination findings color ,consistency and odour of discharges were collected by observation and data about factors including age, method of contraception ,the recent use of antibiotics and the presence of diabetes were collected by questionaire . The results indicates 20.7 percent of outpatients infected with Candida, 17.5 percent of women who were pregnant ,21.2 percent of those who were on oral contraceptive ,25 percent of women who had diabetes and 18.4 percent of women who had recently taken antibiotics had developed Candida vulvovaginitis. This survey has shown no correlation between above factors and candida vulvovaginitis . Among Vaginal symptoms only pruritis ,burning and white vaginal discharge have shown significant relation .Among yeast isolates 80.9 percent of isolates were C.albicans ,followed by C. glabrata and other species of candida had less frequency .Since azole antifungal agents do not adequately eradicate non- albicans species , rapid clinical resistance has emerged in c. glabrata before choosing the drug regimen. Direct microscopy examination and culture must be carried out. The recognition of yeast specificantion helps to select the effective treatment accurately.