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Tytuł pozycji:

Sexual behaviour and extra-genital colonisation in women treated for recurrent Candida vulvo-vaginitis.

Tytuł :
Sexual behaviour and extra-genital colonisation in women treated for recurrent Candida vulvo-vaginitis.
Autorzy :
Grinceviciene S; Femicare vzw, Tienen, Belgium.; Institute of Biotechnology Department of Biothermodynamics and Drug Design, Vilnius University, Vilnius, Lithuania.
Ruban K; Femicare vzw, Tienen, Belgium.
Bellen G; Femicare vzw, Tienen, Belgium.
Donders GGG; Femicare vzw, Tienen, Belgium.; Department of OB/Gyn, Antwerp University, Antwerp, Belgium.
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Źródło :
Mycoses [Mycoses] 2018 Nov; Vol. 61 (11), pp. 857-860. Date of Electronic Publication: 2018 Aug 01.
Typ publikacji :
Clinical Trial; Journal Article; Multicenter Study
Język :
English
Imprint Name(s) :
Original Publication: Berlin : Grosse Verlag, [1988?-
MeSH Terms :
Sexual Behavior*/drug effects
Candida/*growth & development
Candidiasis, Vulvovaginal/*psychology
Adult ; Antifungal Agents/therapeutic use ; Candida/drug effects ; Candida/genetics ; Candida/isolation & purification ; Candidiasis, Vulvovaginal/drug therapy ; Candidiasis, Vulvovaginal/microbiology ; Female ; Fluconazole/therapeutic use ; Humans ; Recurrence ; Vagina/microbiology ; Vulva/microbiology ; Young Adult
Contributed Indexing :
Keywords: Recurrent vulvovaginal candidosis; anal sex; fluconazole maintenance tharapy; multiple site colonisation; sexual habits; vulvovaginal candidiasis
Substance Nomenclature :
0 (Antifungal Agents)
8VZV102JFY (Fluconazole)
Entry Date(s) :
Date Created: 20180713 Date Completed: 20181218 Latest Revision: 20181218
Update Code :
20210914
DOI :
10.1111/myc.12825
PMID :
29998617
Czasopismo naukowe
Objective: This study analyses a relation between sexual habits and the presence of Candida in extra-genital locations as well as a potential effect on therapy response.
Material and Methods: Candida cultures were obtained from mouth, nose, anus, urine and perineum of 117 women enrolled in a RVVC treatment trial (ReCiDiF). Sexual behaviour and carriage rates of extra-genital Candida of women responding well to treatment were compared to that of non-responders.
Results: Most respondents were heterosexual. All but one practiced vaginal sex. Regular receptive oral sex was not related to multiple site colonisation with Candida (OR = 1.27; CI95% 0.36-4.48), nor to non-response to therapy (OR = 1.3; CI 95% 0.41-4.73). Also, masturbation was not related to response to therapy (OR 0.8; CI95% 0.31-1.84), nor was anal sex (OR = 0.54; CI95% 0.11-2.72).
Conclusion: Neither oral nor casual anal sex, nor masturbation can be held responsible for the association of the multiple site/anal colonisation with Candida and inferior response to fluconazole maintenance therapy. Changing sexual behaviour during fluconazole maintenance treatment for RVVC in otherwise healthy women should not be advocated. Also, treatment of asymptomatic sexual partners of women with RVVC is not recommended.
(© 2018 Blackwell Verlag GmbH.)

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