Candida species isolated from the vaginal mucosa of HIV-infected women in Salvador, Bahia, Brazil
Braz. j. infect. dis
;
15(3): 239-244, May-June 2011. tab
Artigo
em Inglês
| LILACS
| ID: lil-589955
ABSTRACT
BACKGROUND:
Vulvovaginal candidiasis (VVC) is the second most common vaginal infection. HIV-infection is a risk factor for this infection.OBJECTIVE:
To determine the frequency of VVC and to describe the main Candida species isolated and their susceptibility to antifungal drugs in HIV-infected patients, compared to HIV-uninfected women in Salvador, Brazil.METHODS:
Cross-sectional study including a group of 64 HIV-infected women and 76 uninfected women, followed up at the AIDS reference center and at the Gynecological Clinic of Escola Bahiana de Medicina e Saúde Pública (Salvador, Bahia, Brazil).RESULTS:
Frequency of Candida spp. was higher in HIV-infected women (29.7 percent) than in HIV-uninfected controls (14.5 percent) (p = 0.02). The odds ratio value for vulvovaginal candidiasis in HIV-infected patients was 2.6 (95 percent CI 1.07 - 6.32 p = 0.03). Candida albicans was the most commonly isolated species in both HIV-infected (52.3 percent) and uninfected women (85.7 percent), followed by C. parapsolis in 17.6 percent and 14.3 percent, respectively. In HIV-infected women, C. glabrata, C. parapsilosis, and a coinfection of C. albicans and C. glabrata were also identified. There was no significant difference between Candida species isolated from the vaginal mucosa of women with VVC and colonization of the vaginal mucosa of HIV-infected and HIV-uninfected women. One C. glabrata isolate from an HIV-infected patient was resistant to fluconazole and other two isolates exhibited a dose-dependent susceptibility.CONCLUSION:
Our results confirm a higher frequency of Candida spp. isolated from the vaginal mucosa of HIV-infected women and a broader spectrum of species involved. Only Candida glabrata isolates showed decreased susceptibility to fluconazole.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Candida
/
Candidíase Vulvovaginal
/
Infecções Oportunistas Relacionadas com a AIDS
Tipo de estudo:
Estudo diagnóstico
/
Estudo observacional
/
Estudo de prevalência
/
Estudo prognóstico
/
Fatores de risco
Limite:
Adulto
/
Feminino
/
Humanos
País/Região como assunto:
América do Sul
/
Brasil
Idioma:
Inglês
Revista:
Braz. j. infect. dis
Assunto da revista:
Doenças Transmissíveis
Ano de publicação:
2011
Tipo de documento:
Artigo
País de afiliação:
Brasil
/
França
Instituição/País de afiliação:
EBMSP/BR
/
Escola Bahiana de Medicina e Saúde Pública/BR
/
FIOCRUZ/BR
/
Laboratoire de Mycologie-Parasitologie/FR
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