Prevalence and antifungal susceptibility of Candida species among pregnant women attending a school maternity at Natal, Brazil

Vulvovaginal candidiasis (VVC) is an inflammatory disease of the vulva and vagina caused by different yeasts of the genus Candida which is responsible for infection in pregnant patients who attended Maternidade Escola Januário Cicco, Rio Grande do Norte, Brazil. From 41 samples, 19 yeasts were ident...

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Veröffentlicht in:Letters in applied microbiology 2018-09, Vol.67 (3), p.285-291
Hauptverfasser: Brandão, L.D.S., Boniek, D., Resende Stoianoff, M.A., Mata, F.M.R., Azevedo, P.R.M., Fernandes, J.V., Andrade, V.S.
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container_issue 3
container_start_page 285
container_title Letters in applied microbiology
container_volume 67
creator Brandão, L.D.S.
Boniek, D.
Resende Stoianoff, M.A.
Mata, F.M.R.
Azevedo, P.R.M.
Fernandes, J.V.
Andrade, V.S.
description Vulvovaginal candidiasis (VVC) is an inflammatory disease of the vulva and vagina caused by different yeasts of the genus Candida which is responsible for infection in pregnant patients who attended Maternidade Escola Januário Cicco, Rio Grande do Norte, Brazil. From 41 samples, 19 yeasts were identified phenotypically as Candida albicans and one as Candida glabrata which is reported as the non‐albicans species most frequently isolated from vulvovaginitis. The susceptibility to selected antifungal agents (flucytosine, fluconazole, voriconazole, amphotericin B, caspofungin and micafungin) was determined, and the association between patient‐related signs and symptoms aided the construction of an epidemiological profile. Antifungal susceptibility testing performed by automated method showed that all strains were sensitive to the drugs tested, including the C. glabrata specimen despite its known resistance or dose‐dependent susceptibility to azole derivatives. Regarding patient signs and symptoms, no statistically significant association between these and the establishment of VVC was found. It can be concluded that the laboratorial diagnosis of VVC is necessary prior to the administration of treatment, since only 48·78% of the patients had VVC but for all of them antifungal therapy were prescribed. Significance and Impact of the Study Vulvovaginal candidiasis (VVC) is a problem that affects a significant number of pregnant women worldwide. This type of fungal infection generates great discomfort due to the symptomatology and difficulties of diagnosis and treatment. In view of the scarcity of data in the State of Rio Grande do Norte, Brazil, regarding studies carried out on fungal populations of the genus Candida associated with VVC in pregnant women, this study considered relevant, the phenotypic and genotypic identification of the species, to estimate the prevalence, to determine their susceptibility to the antifungal and to correlate with signs and symptoms. Significance and Impact of the Study Vulvovaginal candidiasis (VVC) is a problem that affects a significant number of pregnant women worldwide. This type of fungal infection generates great discomfort due to the symptomatology and difficulties of diagnosis and treatment. In view of the scarcity of data in the State of Rio Grande do Norte, Brazil, regarding studies carried out on fungal populations of the genus Candida associated with VVC in pregnant women, this study considered relevant, the phenotypic a
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From 41 samples, 19 yeasts were identified phenotypically as Candida albicans and one as Candida glabrata which is reported as the non‐albicans species most frequently isolated from vulvovaginitis. The susceptibility to selected antifungal agents (flucytosine, fluconazole, voriconazole, amphotericin B, caspofungin and micafungin) was determined, and the association between patient‐related signs and symptoms aided the construction of an epidemiological profile. Antifungal susceptibility testing performed by automated method showed that all strains were sensitive to the drugs tested, including the C. glabrata specimen despite its known resistance or dose‐dependent susceptibility to azole derivatives. Regarding patient signs and symptoms, no statistically significant association between these and the establishment of VVC was found. It can be concluded that the laboratorial diagnosis of VVC is necessary prior to the administration of treatment, since only 48·78% of the patients had VVC but for all of them antifungal therapy were prescribed. Significance and Impact of the Study Vulvovaginal candidiasis (VVC) is a problem that affects a significant number of pregnant women worldwide. This type of fungal infection generates great discomfort due to the symptomatology and difficulties of diagnosis and treatment. In view of the scarcity of data in the State of Rio Grande do Norte, Brazil, regarding studies carried out on fungal populations of the genus Candida associated with VVC in pregnant women, this study considered relevant, the phenotypic and genotypic identification of the species, to estimate the prevalence, to determine their susceptibility to the antifungal and to correlate with signs and symptoms. Significance and Impact of the Study Vulvovaginal candidiasis (VVC) is a problem that affects a significant number of pregnant women worldwide. This type of fungal infection generates great discomfort due to the symptomatology and difficulties of diagnosis and treatment. 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From 41 samples, 19 yeasts were identified phenotypically as Candida albicans and one as Candida glabrata which is reported as the non‐albicans species most frequently isolated from vulvovaginitis. The susceptibility to selected antifungal agents (flucytosine, fluconazole, voriconazole, amphotericin B, caspofungin and micafungin) was determined, and the association between patient‐related signs and symptoms aided the construction of an epidemiological profile. Antifungal susceptibility testing performed by automated method showed that all strains were sensitive to the drugs tested, including the C. glabrata specimen despite its known resistance or dose‐dependent susceptibility to azole derivatives. Regarding patient signs and symptoms, no statistically significant association between these and the establishment of VVC was found. It can be concluded that the laboratorial diagnosis of VVC is necessary prior to the administration of treatment, since only 48·78% of the patients had VVC but for all of them antifungal therapy were prescribed. Significance and Impact of the Study Vulvovaginal candidiasis (VVC) is a problem that affects a significant number of pregnant women worldwide. This type of fungal infection generates great discomfort due to the symptomatology and difficulties of diagnosis and treatment. In view of the scarcity of data in the State of Rio Grande do Norte, Brazil, regarding studies carried out on fungal populations of the genus Candida associated with VVC in pregnant women, this study considered relevant, the phenotypic and genotypic identification of the species, to estimate the prevalence, to determine their susceptibility to the antifungal and to correlate with signs and symptoms. Significance and Impact of the Study Vulvovaginal candidiasis (VVC) is a problem that affects a significant number of pregnant women worldwide. This type of fungal infection generates great discomfort due to the symptomatology and difficulties of diagnosis and treatment. In view of the scarcity of data in the State of Rio Grande do Norte, Brazil, regarding studies carried out on fungal populations of the genus Candida associated with VVC in pregnant women, this study considered relevant, the phenotypic and genotypic identification of the species, to estimate the prevalence, to determine their susceptibility to the antifungal and to correlate with signs and symptoms.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Amphotericin B</subject><subject>Amphotericin B - pharmacology</subject><subject>Antifungal agents</subject><subject>Antifungal Agents - pharmacology</subject><subject>antifungal susceptibility</subject><subject>Brazil - epidemiology</subject><subject>Candida</subject><subject>Candida - drug effects</subject><subject>Candida - genetics</subject><subject>Candida - isolation &amp; purification</subject><subject>Candida glabrata - isolation &amp; purification</subject><subject>Candida species</subject><subject>Candidiasis</subject><subject>Candidiasis, Vulvovaginal - epidemiology</subject><subject>Candidiasis, Vulvovaginal - microbiology</subject><subject>Caspofungin</subject><subject>Diagnosis</subject><subject>Echinocandins - pharmacology</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Fluconazole</subject><subject>Fluconazole - pharmacology</subject><subject>Flucytosine</subject><subject>Fungi</subject><subject>Fungicides</subject><subject>Humans</subject><subject>Infections</subject><subject>Lipopeptides - pharmacology</subject><subject>Micafungin</subject><subject>Microbial Sensitivity Tests</subject><subject>Patients</subject><subject>Pregnancy</subject><subject>Pregnancy Complications - epidemiology</subject><subject>Pregnancy Complications - microbiology</subject><subject>pregnant women</subject><subject>Prevalence</subject><subject>Schools - statistics &amp; numerical data</subject><subject>Signs and symptoms</subject><subject>Species</subject><subject>Statistical analysis</subject><subject>Statistical methods</subject><subject>Test procedures</subject><subject>Vagina</subject><subject>Voriconazole</subject><subject>Vulva</subject><subject>vulvovaginal candidiasis</subject><subject>Vulvovaginitis</subject><subject>Yeasts</subject><subject>Young Adult</subject><issn>0266-8254</issn><issn>1472-765X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp10U1rFDEYB_BQlHatPfQLlIAXBafN22Qmx7r4BtvqQcHbkMk8s6ZkkmmSsawHP7up23oQDIQc8sufJ_wROqXknJZ14fR0Tjnh4gCtqGhY1cj62xO0IkzKqmW1OELPUrohhLSUqUN0xJQiLeFshX59jvBDO_AGsPZD2dmOi99qh9OSDMzZ9tbZvMNhxOsi7KBxmsFYSFhPwW_xHGHryzt8FybwWOcMhZWLAs33EByedIbo70N0xtc6a_cav4n6p3XP0dNRuwQnD-cx-vru7Zf1h2rz6f3H9eWmMrzmotJKCiWlUkKDJFIZMbCREuhZQ3vBG9JD3dJGSmOEIQBDC71pBiBDKwUbJT9GL_e5cwy3C6TcTbb8zjntISypY6SWXAnGm0Jf_ENvwhJ9ma6oVnBCaC2KerVXJoaUIozdHO2k466jpLsvpSuldH9KKfbsIXHpJxj-yscWCrjYgzvrYPf_pG5zebWP_A1JDJbt</recordid><startdate>201809</startdate><enddate>201809</enddate><creator>Brandão, L.D.S.</creator><creator>Boniek, D.</creator><creator>Resende Stoianoff, M.A.</creator><creator>Mata, F.M.R.</creator><creator>Azevedo, P.R.M.</creator><creator>Fernandes, J.V.</creator><creator>Andrade, V.S.</creator><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QL</scope><scope>7QO</scope><scope>7ST</scope><scope>7T7</scope><scope>7TM</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>M7N</scope><scope>P64</scope><scope>SOI</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-6923-7143</orcidid><orcidid>https://orcid.org/0000-0002-6220-1321</orcidid></search><sort><creationdate>201809</creationdate><title>Prevalence and antifungal susceptibility of Candida species among pregnant women attending a school maternity at Natal, Brazil</title><author>Brandão, L.D.S. ; 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From 41 samples, 19 yeasts were identified phenotypically as Candida albicans and one as Candida glabrata which is reported as the non‐albicans species most frequently isolated from vulvovaginitis. The susceptibility to selected antifungal agents (flucytosine, fluconazole, voriconazole, amphotericin B, caspofungin and micafungin) was determined, and the association between patient‐related signs and symptoms aided the construction of an epidemiological profile. Antifungal susceptibility testing performed by automated method showed that all strains were sensitive to the drugs tested, including the C. glabrata specimen despite its known resistance or dose‐dependent susceptibility to azole derivatives. Regarding patient signs and symptoms, no statistically significant association between these and the establishment of VVC was found. It can be concluded that the laboratorial diagnosis of VVC is necessary prior to the administration of treatment, since only 48·78% of the patients had VVC but for all of them antifungal therapy were prescribed. Significance and Impact of the Study Vulvovaginal candidiasis (VVC) is a problem that affects a significant number of pregnant women worldwide. This type of fungal infection generates great discomfort due to the symptomatology and difficulties of diagnosis and treatment. In view of the scarcity of data in the State of Rio Grande do Norte, Brazil, regarding studies carried out on fungal populations of the genus Candida associated with VVC in pregnant women, this study considered relevant, the phenotypic and genotypic identification of the species, to estimate the prevalence, to determine their susceptibility to the antifungal and to correlate with signs and symptoms. Significance and Impact of the Study Vulvovaginal candidiasis (VVC) is a problem that affects a significant number of pregnant women worldwide. This type of fungal infection generates great discomfort due to the symptomatology and difficulties of diagnosis and treatment. In view of the scarcity of data in the State of Rio Grande do Norte, Brazil, regarding studies carried out on fungal populations of the genus Candida associated with VVC in pregnant women, this study considered relevant, the phenotypic and genotypic identification of the species, to estimate the prevalence, to determine their susceptibility to the antifungal and to correlate with signs and symptoms.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>29908032</pmid><doi>10.1111/lam.13034</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0001-6923-7143</orcidid><orcidid>https://orcid.org/0000-0002-6220-1321</orcidid></addata></record>
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source Oxford University Press Journals All Titles (1996-Current); MEDLINE; Wiley Online Library Journals Frontfile Complete; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection
subjects Adolescent
Adult
Amphotericin B
Amphotericin B - pharmacology
Antifungal agents
Antifungal Agents - pharmacology
antifungal susceptibility
Brazil - epidemiology
Candida
Candida - drug effects
Candida - genetics
Candida - isolation & purification
Candida glabrata - isolation & purification
Candida species
Candidiasis
Candidiasis, Vulvovaginal - epidemiology
Candidiasis, Vulvovaginal - microbiology
Caspofungin
Diagnosis
Echinocandins - pharmacology
Epidemiology
Female
Fluconazole
Fluconazole - pharmacology
Flucytosine
Fungi
Fungicides
Humans
Infections
Lipopeptides - pharmacology
Micafungin
Microbial Sensitivity Tests
Patients
Pregnancy
Pregnancy Complications - epidemiology
Pregnancy Complications - microbiology
pregnant women
Prevalence
Schools - statistics & numerical data
Signs and symptoms
Species
Statistical analysis
Statistical methods
Test procedures
Vagina
Voriconazole
Vulva
vulvovaginal candidiasis
Vulvovaginitis
Yeasts
Young Adult
title Prevalence and antifungal susceptibility of Candida species among pregnant women attending a school maternity at Natal, Brazil
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