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. 2013 Apr 5;25(2):103–106. [Article in Spanish] doi: 10.1016/S0212-6567(00)78471-X

Prevalencia de candidiasis vaginal en una población obstétrica de bajo riesgo en Santander

Prevalence of Vaginal Candidiasis in A Low-Risk Obstetric Population in Santander

FJ Benito Vilella a,*, E Aguilera Zubizarreta b, A Cuesta Pérez-Camino b, R Pardo Valcarce b, B Gómez Queipo b, E Rodríguez Patiño b, P Muñoz Cacho c; Centro de Salud Cazoña. Santander
PMCID: PMC7675818  PMID: 10736940

Abstract

Objetivo

Conocer la prevalencia de candidiasis vaginal en embarazadas controladas desde atención primaria y ver si está aumentando con el paso del tiempo.

Diseño

Estudio descriptivo, retrospectivo del universo de mujeres embarazadas.

Emplazamiento

Zona Básica de Salud Cazoña (34.783 habitantes).

Sujetos

Toda la población obstétrica controlada en nuestro centro de salud desde 1992 a 1997, ambos inclusive.

Mediciones y resultados

Estudio retrospectivo de las historias clínicas de todas las mujeres embarazadas captadas en nuestro centro de salud (878 embarazos). Descartados los derivados a tocólogo, abortos y partos prematuros, se han valorado 549 embarazos (62,30% del total) normales, de bajo riesgo, controlados hasta el final por atención primaria, con un rango de edad de 16-40 años. La prevalencia media de candidiasis es de un 18% (IC, 15,0-21,6). Su frecuencia aumenta a medida que se incrementa el número de gestaciones y disminuye a medida que aumenta la edad de la embarazada.

Conclusiones

La prevalencia encontrada en nuestro estudio es de un 18%, y no está aumentando a medida que pasan los años.

Palabras clave: Vulvovaginitis, Candidiasis, Embarazo

Bibliografía

  • 1.Academia Española de Dermatología y Sifilografía . Epidemiología y patogenia de la candidiasis vaginal. In: Research Council Janssen., editor. Micología y micosis. Janssen Farmacéutica; Madrid:: 1987. pp. 7–13. [Google Scholar]
  • 2.García J.F., Schneider J., Pontón J. Vulvovaginitis candidiásica. Med Clin (Barc) 1994;103:505–508. [PubMed] [Google Scholar]
  • 3.Blake D.R., Duggan A., Quinn T., Zenilman J., Joffe A. Evaluation of vaginal infection in adolescent women: can it be done without a speculum? Pediatrics. 1998;102:939–944. doi: 10.1542/peds.102.4.939. [DOI] [PubMed] [Google Scholar]
  • 4.Chandeying V., Skov S., Kemapunmanus M., Law M., Greater A., Rowe P. Evaluation of two clinical protocols for the management of women with vaginal discharge in southern Thailand. Sex Transm Infect. 1998;74:194–201. doi: 10.1136/sti.74.3.194. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 5.Otero L., Palacio V., Carrero F., Méndez F.S., Vázquez F. Vulvovaginal candidiasis in female sex workers. Int J Std Aids. 1998;9:526–530. doi: 10.1258/0956462981922764. [DOI] [PubMed] [Google Scholar]
  • 6.Geiger A.M., Foxman B. Risk factors for vulvovaginal candidiasis: a case control study among university students. Epidemiology. 1996;7:182–187. doi: 10.1097/00001648-199603000-00013. [DOI] [PubMed] [Google Scholar]
  • 7.Cosgrove B.F., Reeves K., Mullins D., Ford M.J., Ramos Caro F.A. Congenital cutaneous candidiasis associated with respiratory distress and elevation of liver function test: a case report and review of the literature. J Am Acad Dermatol. 1997;37:817–823. doi: 10.1016/s0190-9622(97)80002-3. [DOI] [PubMed] [Google Scholar]
  • 8.Band O., Boithias C., Lacaze-Masmonteil T., Ville Y., Guibert M., Zupan V. Maternofetal disseminated candidiasis and high-grade prematurity (see comments) Arch Pediatr. 1997:903. doi: 10.1016/s0929-693x(97)86449-4. [DOI] [PubMed] [Google Scholar]
  • 9.Khambadkone S.M., Dixit K.M., Divekar A., Joshi S.M., Irani S.F., Disei M. Congenital candidiasis. Indian Pediatr. 1996;33:512–516. [PubMed] [Google Scholar]
  • 10.Van Winter J.T., Ney J.A., Ogburn P.L., Jr, Johnson R.V. Preterm lebon and congenital candidiasis; a case report. J Reprod Med. 1994;39:987–990. [PubMed] [Google Scholar]
  • 11.Loke H.L., Verber I., Szymonowicz W., Yu V.Y. Systemic candidiasis and pneumonia in preterm infants. Aust Paediatr J. 1998;24:138–142. doi: 10.1111/j.1440-1754.1988.tb00306.x. [DOI] [PubMed] [Google Scholar]
  • 12.Chaland G., Bouygues D. Congenital cutaneous candidiasis. 2 case reports. Pediatrie. 1986;41:321–327. [PubMed] [Google Scholar]
  • 13.Gaillard D., Lallemand A., Adnet J.J., Vernet V. Fetal and congenital candidiasis. Arch Anat Cytol Pathol. 1985;33:26–31. [PubMed] [Google Scholar]
  • 14.Engelhart C.M., Van de Vijver N.M., Nienhuis S.J., Hasaart T.H. Fetal candida sepsis at midgestation: a case report. Eur J Obstet Gynecol Rep Biol. 1998;77:107–109. doi: 10.1016/s0301-2115(97)00222-4. [DOI] [PubMed] [Google Scholar]
  • 15.Schlosser R.L., Zubcov A., Bollinger M., Kuhnert M., Loewenich V. Congenital candida infections. Monatsschr Kinderheilkd. 1993;141:864–867. [PubMed] [Google Scholar]
  • 16.Donders G.G., Gordts S., Cornelis A., Moerman P. Intrauterine candidasis in a twin pregnancy after myomectomy, in vitro fertilization and embryo tranfer. Arch Ginecolo Obstet. 1997;259:201–204. doi: 10.1007/BF02505333. [DOI] [PubMed] [Google Scholar]
  • 17.Hart G. Factors associated with trichomoniasis, candidiasis and bacterial vaginosis. Int J STD AIDS. 1993;4:21–25. doi: 10.1177/095646249300400105. [DOI] [PubMed] [Google Scholar]
  • 18.Cotch M.F., Hillier S.L., Gibss R.S., Eschenbech D.A. Epidemiology and outcomes associated with moderate to heavy candida colonization during pregnancy. Vaginal infections and prematurity study group. Am J Obstet Gynecol. 1998;178:374–380. doi: 10.1016/s0002-9378(98)80028-8. [DOI] [PubMed] [Google Scholar]
  • 19.Nichols A., Khong T.Y., Crowther C.A. Candida tropicalis chorioamnionitis. Am J Obstet Gynecol. 1995;172:1.045–1.047. doi: 10.1016/0002-9378(95)90044-6. [DOI] [PubMed] [Google Scholar]
  • 20.Westney D.E., Westney L.S., Johnson A.A., Knight E.M., Oyemede V.J., Cole O.J. Nutrition, genital tract infection, hematologyc values, and premature rupture of membranes among african american women. J Nutr. 1994;124(Supl 6):9.875–9.935. doi: 10.1093/jn/124.suppl_6.987S. [DOI] [PubMed] [Google Scholar]
  • 21.Prieto-Valderrey F., Teja Barbero J.L., Obeso-González T., Castellanos Ortega A., Santridrian Miguel J.P. SDRA recurrente tras neumonía varicelosa complicada con candidiasis diseminada en mujer gestante. An Med Intern. 1996;13:491–493. [PubMed] [Google Scholar]
  • 22.Moyana T.N., Kulaga A., Xiang J. Granulomatous appendicitis in acute myeloblastic leukemia: expanding the clinicopathologic spectrum of invasive candidiasis. Arch Patol Lab Med. 1996;120:203–205. [PubMed] [Google Scholar]
  • 23.Burns D.N., Tuomala R., Chang B.H., Hershow R., Minkoff H., Rodríguez E. Vaginal colonization or infection with Candida albicans in human inmunodeficiency virus-infected women during pregnancy and during the postpartum period. Women and infants transmissions study group. Clin Infect Dis. 1997;24:201–210. doi: 10.1093/clinids/24.2.201. [DOI] [PubMed] [Google Scholar]
  • 24.Pellicano M., Castellano A., Magri G., Vigorito R., Carnevale E., Falco D De. Vulvovaginitis and reproduction. Clin Exp Obstet Gynecol. 1995;22:51–65. [PubMed] [Google Scholar]
  • 25.Ohba T., Nakamura N., Matsui K., Ito M., Okamura H. High incidence of vaginal candidiasis in HTLV-I carrier pregnant women. Nippon Sanka Fujinka Gakkai Zasshi. 1992;44:742–744. [PubMed] [Google Scholar]
  • 26.Nohmi T., Abe S., Dobeshi K., Tansho S., Yamaguchi H. Supression of anti-candida activity of murine neutrophils by progesterone in vitro: a possible mechanism in pregnant women's vulnerability to vaginal candidiasis. Microbiol-Inmunol. 1995;39:405–409. doi: 10.1111/j.1348-0421.1995.tb02220.x. [DOI] [PubMed] [Google Scholar]
  • 27.Sobel J.D. Epidemilogy and pathogenesis of recurrent vulvovaginal candidiasis. Am J Obstet-Gynecol. 1985;152:924–935. doi: 10.1016/s0002-9378(85)80003-x. [DOI] [PubMed] [Google Scholar]
  • 28.Milsom I., Forssman L. Repeated candidiasis: reinfection or recrudescence. A review. Am J Obstet Gynecol. 1985;152:956–959. doi: 10.1016/s0002-9378(85)80009-0. [DOI] [PubMed] [Google Scholar]
  • 29.Glover D.D., Larsen B. Longitudinal investigation of candida vaginitis in pregnancy: role of superimposed antibiotic use. Obstet Gynecol. 1998;91:115–188. doi: 10.1016/s0029-7844(97)00588-7. [DOI] [PubMed] [Google Scholar]
  • 30.Maffei C.M., Paula C.R., Mazzocato T.S., Franceschini S. Phenotype and genotype of Candida albicans strains isolated from pregnant women with recurrent vaginitis. Mycophatologia. 1997;137:87–94. doi: 10.1023/a:1006878908668. [DOI] [PubMed] [Google Scholar]
  • 31.Spinillo A., Pizzoli G., Colonna L., Nicola S., De Seta F., Guaschino S. Epidemiologic characteristics of women with idiopathic recurrent vulvovaginal candidiasis. Obstet Gynecol. 1993;81:721–727. [PubMed] [Google Scholar]
  • 32.Reef S.E., Levine W.C., McNeil M.N., Fisher-Hoch S., Holmberg S.D., Duerr A. Treatment options for vulvovaginal candidiasis. 1993. Clin Infec Dis. 1995;20:80–90. doi: 10.1093/clinids/20.supplement_1.s80. [DOI] [PubMed] [Google Scholar]
  • 33.Inman W., Pearce G., Wilton L. Safety of fluconazole in the treatment of vaginal candidiasis. A prescription-event monitoring study, with special reference to the outcome of pregnancy. Eur J Clin Pharmacol. 1994;46:115–118. doi: 10.1007/BF00199872. [DOI] [PubMed] [Google Scholar]
  • 34.Doering P.L., Santiago T.M. Drugs for treatment of vulvovaginal candidasis: comparative efficay of agents and vagimens. DICP. 1990;24:1.078–1.083. doi: 10.1177/106002809002401112. [DOI] [PubMed] [Google Scholar]
  • 35.Hagler L., Brett L. Treatment of vaginal candidiasis in pregnant women. Clin Ther. 1987;9:559–561. [PubMed] [Google Scholar]
  • 36.Jefferson Medical College, Thomas Jefferson University, Philadelphia, Pennsylvanie Treatment of vaginal candidiasis in pregnant women. Clin Ther. 1986;8:563–567. [PubMed] [Google Scholar]
  • 37.Pritchard J.A. Cuidados prenatales. In: Williams, editor. Obstetricia (3.a ed.) Salvat; Barcelona:: 1986. p. 254. [Google Scholar]
  • 38.Rein M.F. Enfermedades de transmisión sexual. In: Stein J.H., editor. Medicina interna (3.a ed.) Salvat; Barcelona:: 1991. p. 1.311. [Google Scholar]
  • 39.Eckert L.O., Hawes S.E., Stevens C.E., Koutsky L.A., Eschenbech D.A., Holmes K.K. Vulvovaginal candidiasis: clinical manifestations, risk factors, management algorith. Obstet Gynecol. 1998;92:757–765. doi: 10.1016/s0029-7844(98)00264-6. [DOI] [PubMed] [Google Scholar]
  • 40.Kukner S., Kusku E., Ergin T., Gokman O. Vaginal thrush and its management in pregnancy. JPMA J Pek Med Assoc. 1995;45:15–16. [PubMed] [Google Scholar]
  • 41.Koumantakis E.E., Hassan L.A., Deligeoroglou E.K., Creatses G.K. Vulvovaginitis during childhood and adolescence. J Pediatr Adolesc Gynecol. 1997;10:39–43. doi: 10.1016/s1083-3188(97)70043-3. [DOI] [PubMed] [Google Scholar]
  • 42.Heller D.S., Randolph P., Young A., Tancer M.L., Fromer D. The cutaneous-vulvar clinic revisited: a five year experience of the Columbia Presbyterian Medical Center Cutaneous-vulvar service. Dermatology. 1997;195:26–29. doi: 10.1159/000245679. [DOI] [PubMed] [Google Scholar]
  • 43.Geiger A.M., Foxmen B., Gillespie B.W. The epidemiology of vulvovaginal candidiasis among university students. Am J Public Health. 1995;85:1.146–1.148. doi: 10.2105/ajph.85.8_pt_1.1146. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 44.Emmerson J., Gumputrao A., Hawkswell J., Dexter A., Sykes R., Searle S. Sampling for vaginal candidiasis: how good is it? Int J Std Aids. 1994;5:356–358. [PubMed] [Google Scholar]
  • 45.Ceruti M., Canestrelli M., Pientelli G., Amone F., Condemi V., Paolis P De. Vaginitis and vaginosis. Comparasion of two periods. Minerva Ginecol. 1993;45:479–483. [PubMed] [Google Scholar]
  • 46.Abu-Elteen K.H., Abdul Malek A.M., Abdul Wahid N.A. Prevalence and susceptibility of vaginal yeast isolates in Jordan. Mycoses. 1997;40:179–185. doi: 10.1111/j.1439-0507.1997.tb00211.x. [DOI] [PubMed] [Google Scholar]
  • 47.Gertig D.M., Kapiga S.H., Shao J.F., Hunter D.J. Risk factors for sexually transmitted diseases among women attending family planing clinics in Dar-es-Salam, Tanzania. Genitourin Med. 1997;73:39–43. doi: 10.1136/sti.73.1.39. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 48.De Oliveira J.M., Cruz A.S., Fonseca A.F., Ves E.P., Rodríguez A., Aurea F. Prevalence of Candida albicans in vaginal fluid of asymptomatic portuguese women. J Rep Med. 1993;38:41–42. [PubMed] [Google Scholar]
  • 49.Faye-Katte Y.H., Konassi A.A., Sylla-Koko D.F., Kacon-N'-Douba A.A., Akona-Koffi G., Acho Y.B. Prevalence of four agents of sexually transmitted diseases in leukorrhea in Abidjan (Ivory Coast) Bull Soc Pathol Exot. 1993;86:245–247. [PubMed] [Google Scholar]
  • 50.Ginter G., Soyer H.P., Rieger E. Vaginal yeast colonization and promiscuity. A study of 197 prostitutes. Mycoses. 1992;35:177–180. doi: 10.1111/j.1439-0507.1992.tb00841.x. [DOI] [PubMed] [Google Scholar]
  • 51.Bazarra Fernández A., Castro Iglesias A. Vaginosis bacteriana ¿dónde nos encontramos? Med Clin (Barc) 1998;110:213–214. [PubMed] [Google Scholar]
  • 52.Martínez de Tejada B., Coll O., De Flores M., Millier S.L., Landers D.V. Prevalencia de vaginosis bacteriana en una población obstétrica de Barcelona. Med Clin (Barc) 1998;110:201–204. [PubMed] [Google Scholar]
  • 53.Meis P.J., Goldenberg R.L., Mercer B., Moaward A., Das A., McNellis D. The pretern prediction study: significance of vaginal infections. Am J Obstet Gynecol. 1995;173:1.231–1.235. doi: 10.1016/0002-9378(95)91360-2. [DOI] [PubMed] [Google Scholar]
  • 54.Chourt R.T., Vaton S., Duval-Violton D., Leguyader-Despres P., Orfile J. Creening for Chlamydia trachomatis infection in pregnant women in Martinique. Sex Transm Dis. 1995;22:221–227. doi: 10.1097/00007435-199507000-00004. [DOI] [PubMed] [Google Scholar]

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