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Co-occurrence of Gardnerellavaginalis and Candida sp. in women with and without vulvovaginitis

Authors: José Eleutério Junior, Ana Katherinne Gonçalves de Oliveira, Paulo César Giraldo, Ana Beatriz Gordiano, Fernanda Queiroz, Renata Mírian Nunes Eleutério and Iara Moreno Linhares

Int J Med Res Health Sci.32-35 | pdf PDF Full Text

ABSTRACT:
Aims: To detect the co-occurrence of Gardnerellavaginalis and Candida sp.in women with and without vaginal
symptoms. Methods: A cross-sectional study was performed in women seeking treatment in a Brazilian city from
March to November 2014. Data, such as age and symptoms, were noted from patients. Vaginal content samples
were obtained with a swab of the vaginal wall and were fixed in ATTS (Ambient Temperature Transport System).
The Affirm VPIII test (Becton Dickinson and Company, Sparks, MD, USA) was used to identify the pathogen.
Fisher’s exact test with a 95% confidence interval was used for the statistical analysis. Results: In total, 160 women
were studied, and 13 cases were excluded. Of the 147 remaining women, fifty-two women were asymptomatic, and
95 women reported symptoms. An association between Gardnerellavaginalis(Gv) and Candida sp. (Ca) was noted
in 9 cases (6.1%). Gv + Ca was observed in 1 case (1.9%) in the asymptomatic group and in 12 cases (12.6%) in
the symptomatic group (p= 0,0361). Vaginal inflammation signs were observed in 8/8 (100%) cases ofcooccurrence
(p<0.005). Conclusion: The co-occurrence of Gardnerellavaginalis and Candida sp. is not rare and is
frequently associated with symptoms and mucosal inflammation signs.
Key words: Bacterial vaginosis, Candida, Vaginitis, vaginosis, diagnostic

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