Candida vulvovaginitis in pregnancy

被引:13
作者
Xu J. [1 ]
Sobel J.D. [1 ]
机构
[1] Division of Infectious Diseases, Harper University Hospital, Detroit, MI 48201
关键词
Candidiasis; Bacterial Vaginosis; Vaginitis; Vaginal Candidiasis; Vaginal Infection;
D O I
10.1007/s11908-004-0063-9
中图分类号
学科分类号
摘要
In the absence of epidemiologic studies over many decades, there are scant data on the prevalence and natural history of vaginal colonization and symptomatic Candida infections in pregnant women. The hormonal mileau of the vagina during pregnancy undoubtedly enhances Candida colonization and serves as a risk factor for symptomatic expression; however, the frequency, clinical manifestation, and response to therapy is largely based on empiric diagnosis of unsubstantiated disease. For reasons of liability, pregnant women have been largely excluded from controlled clinical treatment studies by the pharmaceutical industry; accordingly, treatment guidelines are dictated by opinions rather than data. As in nongravid women, management of symptomatic pregnant women should be based on confirmed diagnosis and not clinical impression. Copyright © 2004 by Current Science Inc.
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页码:445 / 449
页数:4
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