Pattern of Candida Species Isolated from Patient with Vulvovaginal Candidiasis in Pregnancy

vulvovaginal candidiasis species pattern pregnancy sexual and reproductive health care

Authors

  • Indah Purnamasari SMF Kulit Kelamin FK Unair
  • Evy Ervianti
    evy-e@fkg.unair.ac.id
    Departement of Dermatology and Venereology, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia https://orcid.org/0000-0002-2443-014X
  • Damayanti Damayanti Departement of Dermatology and Venereology, Faculty of Medicine, Universitas Airlangga, Surabaya
  • Budi Prasetyo 2Departement of Obstetric and Gynecology, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia
  • Linda Astari Departement of Dermatology and Venereology, Faculty of Medicine, Universitas Airlangga, Surabaya
  • Pepy D. Endraswari Department Medical of Microbiology, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia/ Dr. Soetomo General Academic Hospital, Universitas Airlangga Hospital, Surabaya
  • M. Yulianto Listiawan Departement of Dermatology and Venereology, Faculty of Medicine, Universitas Airlangga, Surabaya
  • Cita Rosita Sigit Prakoeswa Departement of Dermatology and Venereology, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia
November 30, 2022

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Background: Vulvovaginal candidiasis (VVC) is one of the most prevalent genital tract diseases in women. The identification of the isolated Candida species is critical for guiding empirical antifungal therapy. Purpose: To determine the Candida species that cause vulvovaginal candidiasis in pregnancy at the Obstetrics and Gynecology Outpatient Clinic, Dr. Soetomo General Academic Hospital, thus providing scientific and therapeutic benefits. Methods:  Pregnant woman receiving antenatal care (ANC) at Dr. Soetomo General Academic Hospital Obstetric and Gynecology Outpatient Clinic. Subjects were enrolled in a cross-sectional study during 3 months between March and May 2021. Vaginal swab samples were taken from subjects after informed consent. A specific color change in CHROMagar cultures and VITEK 2 compact were used to identify Candida species. Result: During the study period, 15 pregnant patients were diagnosed with VVC. The majority of the women in the study were pregnant women of sexually active age who complained of a whitish body and genital irritation. There were 18 candida isolates from CHROMagar cultures, with C. non albicans (61.1%) predominating over C. albicans (38.3%). With details, non albicans were C. glabrata (54.4%), C. dubliniensis (36.3%), and C. parapsilosis (18.1%). Conclusion: This study revealed a high prevalence of Candida non-albicans species causing VVC. Culture investigation and identification of Candida are critical to avoid diminished susceptibility to antifungal treatments and recurrence.

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