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Vive Revista de Salud

Print version ISSN 2664-3243

Abstract

ORELLANA QUITO, Julia María  and  PACHECO CARDENAS, Karla Estefanía. Identification and susceptibility in Candida spp. in the gynecological area. Vive Rev. Salud [online]. 2021, vol.4, n.11, pp.223-232. ISSN 2664-3243.  https://doi.org/10.33996/revistavive.v4i11.97.

Candidiasis is an infection caused by the pathogenic action of Candida spp., Classified as the second worldwide cause of vaginal infection in women aged between 15 and 45 years. Being Candida albicans the most prevalent with global distribution. One of the clinically important problems is resistance to antifungals due to their irrational use as empirical therapy and prophylaxis.

Objective

: To characterize the infection by Candida spp., according to: susceptibility profiles and frequencies of vulvo-vaginal candidiasis related to the balance of vaginal content. As well as, the presence of co-infections in women of childbearing age in Cuenca - Azogues cities, who attend a consultation at the Monte Sinaí Hospital, January - November 2020 period.

Materials and methods

. A descriptive, observational cross-sectional study, the sample consisted of 136 clinical isolates, a full coverage sampling was used.

Results.

The age group that prevailed was 19 - 39 years. Candida albicans was the most prevalent in vaginal discharge samples with 92.6%, followed by Candida glabrata 6.6% and Candida parapsilosis with 0.7%. Resistance rates differed in Miconazole with 19.9%, Itraconazole 16.9%, and Fluconazole 14%.

Conclusions

. The causative etiological agent of vulvo-vaginal candidiasis was Candida albicans. The interpretation of the balance of vaginal content and susceptibility profiles are a key tool for the optimal treatment of the patient with vaginal infections, avoiding self-medication and drug resistance.

Keywords : Candida; candidosis; vulvovaginitis; drug resistance; susceptibility.

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