Endogenous or exogenous origin of vaginal candidiasis in a Polish women?

Magdalena Mnichowska-Polanowska, Iwona Wojciechowska-Koszko, Bogumiła Klimowicz, Ludmiła Szymaniak, Barbara Krasnodębska-Szponder, Z. Szych, Stefania Giedrys-Kalemba
Pol J Microbiol
2013; 62 (3):
ICID: 1072799
Article type: Short communication
IC™ Value: 6.00
Abstract provided by Publisher
 
Abstract
Vaginal candidiasis is a common problem of clinical practice. Many studies were conducted to explain its origin but only few have included Polish women. The aim of the study was to determine the prevalence and similarity of oral, anal and vaginal Candida albicans strains isolated from Polish women with vaginal candidiasis. The study involved 20 from 37 recruited women. Swab samples were collected from their vagina, anus, and oral cavity at two-month intervals. All women were treated with nystatin. Yeast were recovered and identified by the germ-tube test, API /Vitek system, typed by API ZYM and RAPD-PCR. Chi-square test was used to analyze the data. A total of 170 Candida albicans isolates were recovered from 180 samples collected 3 times from 3 sites of 20 women. Positive yeast vaginal cultures were found at all patients before administration of nystatin. Vaginal yeast recovery rate was decreased statistically significant in the first follow-up visit (p=0,02). The same and different genotypes/biotypes were found concomitantly in a few body sites and/or repeatedly at time interval from the same body site. The results support concept of dynamic exchange of yeast within one woman and endogenous or exogenous origin of vaginal candidiasis

Key words: Candida albicans, candidiasis, molecular typing.

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