Abstract
Background: Candida spp has lately become a common etiology in female genital infections. Vulvovaginal Candidiasis (VVC) is defined as the association of signs and symptoms of vulvovaginal inflammation in the presence of Candida species and the absence of other etiologies. It is usually observed in the context of diabetes, antibiotic therapy and pregnancy, having studies that estimate that about 75% of women will have an episode in their life. Methods & Materials: Observational, descriptive and retrospective study of samples of vaginal exudates compatible with VVC from January 2007 to December 2016. Objectives: identify species of Candida isolated from VVC, the frequency of complications and recurrences. Data were obtained from microbiology laboratory records of the institution. Statistical method: central tendency and dispersion tests. Results: Were analyzed 1643 samples of vaginal exudates, in 76.45% was identified Candida albicans. The remaining corresponded to C. glabrata (12.84%), C. parapsilopsis (6.21%), C. tropicalis (3.23%), among others (<1%: C. krusei, C. guillermondi, C famata, Trichosporon spp.). The age range was 15-83 years, being 63.29% between 15 and 34 years. 11.2% were classified as complicated VVC. Recurrent vulvovaginitis was reported in 7.06% of the samples (C. albicans: 88.79%, followed by C. glabrata, 7.76%). The presence of concomitant Bacterial Vaginosis was observed in 6.27%. The inflammatory reaction was positive in 53% of the samples in which only Candida spp was isolated (n: 1104). Only in 11 cultures (<1%) were isolated two simultaneous species (mixed candidiasis). The overall sensitivity of the direct exam was 92.88%. Conclusion: Episodes of VVC were more frequent in patients between 15 and 34 years old, and Candida albicans was most frequently identified species in both uncomplicated VVC and recurrent forms. The clinical forms of complicated and recurrent VVC have a low prevalence.
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