Update of Vulvovaginal Candidiasis in Pregnant and Non-pregnant Patients

AbstractPurpose of the ReviewCandida albicans vulvovaginitis is one of the most frequent symptomatic infections in women and its incidence increases in reproductive age and pregnancy. Currently there are more specific and sensitive tests to identifyCandida species that are resistant to antifungal agents, such as PCR and MALDI TOF MS, in order to improve prognosis.Recent FindingsThe genusCandida is part of the microbiota in humans; however, many species can become pathogenic. Vulvovaginitis caused by non-albicansCandida are becoming very important due to their high levels of antifungal resistance, which makes treatment difficult. Therefore, in addition to using phenotypic, biochemical tests, molecular analyses should be used to improve diagnosis and give appropriate treatment.SummaryBoth in childhood and in reproductive age, women are exposed to several episodes of vulvovaginitis, mainly due to bacteria and fungi, due to various risk factors. Among the fungi, the most common agent isCandida albicans and within the non-albicans isCandida glabrata, but there are other species related to greater resistance and recurrence.
Source: Current Fungal Infection Reports - Category: Infectious Diseases Source Type: research