Abstract

BASSO, Rangeli et al. Etiology of recurrent vulvovaginal candidiasis in the National Health System in Santa Catarina, Brazil. Acta bioquím. clín. latinoam. [online]. 2012, vol.46, n.3, pp.405-412. ISSN 0325-2957.

The main purpose of this work was to highlight epidemiological characteristics serving as subsidies to health promotion activities for vulvovaginal candidiasis (VVC) and recurrent vulvovaginal candidiasis (RVVC) by the national health system, in three cities in southern Brazil. Through the mycological examination of vaginal secretions of 300 women with clinical suspicion of VVC or RVVC, Candida-prevalent species were identified and they were correlated with the main risk factors mentioned in the literature. Yeasts were confirmed in 90 (30%) cases, resulting in C. albicans 61.1%, C. krusei 16.7%, C. tropicalis 6.7%, C. glabrata 4.4% and others 11.1%. C. albicans was the species most commonly found in cases of RVVC, with levels higher than the prevalence of the species in the VVC. C. krusei prevailed as the second most prevalent species in both samples, emphasizing the importance of diagnosing the species level, due to its intrinsic resistance to fluconazole. The epidemiological information of the study is useful for managers of the National Health Care System, as well as direct health professionals, who can have new subsidies to act preventively against vulvovaginal candidiasis.

Keywords : Vulvovaginal candidiasis; Candida spp; CHROMagar Candida®.

        · abstract in Spanish | Portuguese     · text in Spanish     · Spanish ( pdf )