Neither History Nor Clinical Exam Help Identify Positive Vaginal Candida Infection

Among women with recurrent vulvovaginal candidosis, neither history nor findings at a clinical examination can distinguish between women who will have a positive culture from those who will have a negative culture for Candida, Swedish investigators have found.

 Clinicians at the Department of Obstetrics and Gynecology, University Hospital, Lund, Sweden, used 32 parameters and 10 signs found at clinical examination in interviews with 83 women with a history consistent with recurrent vulvovaginal candidosis (RVVC).

 Candida cultures were taken from the introitus and the posterior vaginal fornix. Most of the many etiological factors which are associated with RVVC could be traced only in a few of the 43 women who had a positive yeast culture and the 40 women who had a negative yeast culture.

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