Risk factors for recurrent vulvovaginal candidiasis

Background/Aim. Recurrent vulvovaginal candidiasis is relatively frequent condition, and may have serious health consequences, like chronic vulvovaginal pain syndrome. The aim of our study was to determine possible risk factors for recurrent vulvovaginal candidiasis in non-pregnant females within th...

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Main Authors: Janković Slobodan, Bojović Dragica, Vukadinović Dubravka, Daglar Elmedina, Janković Marija, Laudanović Dragomir, Lukić Vladan, Mišković Vesna, Potpara Zorica, Projović Ivana, Čokanović Vesna, Petrović Nadežda, Folić Marko, Savić Viktorija
Format: Article
Language:English
Published: Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade 2010-01-01
Series:Vojnosanitetski Pregled
Subjects:
Online Access:http://www.doiserbia.nb.rs/img/doi/0042-8450/2010/0042-84501010819J.pdf
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author Janković Slobodan
Bojović Dragica
Vukadinović Dubravka
Daglar Elmedina
Janković Marija
Laudanović Dragomir
Lukić Vladan
Mišković Vesna
Potpara Zorica
Projović Ivana
Čokanović Vesna
Petrović Nadežda
Folić Marko
Savić Viktorija
author_facet Janković Slobodan
Bojović Dragica
Vukadinović Dubravka
Daglar Elmedina
Janković Marija
Laudanović Dragomir
Lukić Vladan
Mišković Vesna
Potpara Zorica
Projović Ivana
Čokanović Vesna
Petrović Nadežda
Folić Marko
Savić Viktorija
author_sort Janković Slobodan
collection DOAJ
description Background/Aim. Recurrent vulvovaginal candidiasis is relatively frequent condition, and may have serious health consequences, like chronic vulvovaginal pain syndrome. The aim of our study was to determine possible risk factors for recurrent vulvovaginal candidiasis in non-pregnant females within the reproductive age. Methods. The design of our study was of a case-control type. Case and control patients were selected from the gynecological patients at six primary care facilities in Serbia and in Montenegro. The data on the patients' health condition, concomitant therapy and diseases were taken from their records, and the data on habits were obtained by unstructured interview. For potential risk factors crude odds ratios were calculated, and then adjusted by logistic regression. Results. A total of fifty-one patients had four or more episodes of vulvovaginal candidiasis during the last year (cases), and 132 patients with one to three episodes of vulvovaginal candidiasis were sampled as controls, matched by age. The only two significant associations were found between recurrent vulvovaginal candidiasis and continual wearing of panty liners during the last year (Odds ratio - ORadjusted: 3.97; confidence interval - CI: 1.57-10.02; p = 0.004), and between recurrent vulvovaginal candidiasis and predominant use of vaginal tampons during menstruation in the last year (ORadjusted: 4.25; CI: 1.11-16.27; p = 0.035). The synergistic effect was observed for the concurrent continual wearing of panty liners during the last year and selfmedication with antimycotics. Conclusions. Local factors, like wearing of panty liners or use of tampons during menstruation, may promote recurrence of vulvovaginal candidiasis, especially in patients who practice selfmedication with antimycotics.
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spelling doaj-art-5fb198d41c4349d4b5e2f3e8294ab3252025-08-20T02:23:51ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502010-01-01671081982410.2298/VSP1010819JRisk factors for recurrent vulvovaginal candidiasisJanković SlobodanBojović DragicaVukadinović DubravkaDaglar ElmedinaJanković MarijaLaudanović DragomirLukić VladanMišković VesnaPotpara ZoricaProjović IvanaČokanović VesnaPetrović NadeždaFolić MarkoSavić ViktorijaBackground/Aim. Recurrent vulvovaginal candidiasis is relatively frequent condition, and may have serious health consequences, like chronic vulvovaginal pain syndrome. The aim of our study was to determine possible risk factors for recurrent vulvovaginal candidiasis in non-pregnant females within the reproductive age. Methods. The design of our study was of a case-control type. Case and control patients were selected from the gynecological patients at six primary care facilities in Serbia and in Montenegro. The data on the patients' health condition, concomitant therapy and diseases were taken from their records, and the data on habits were obtained by unstructured interview. For potential risk factors crude odds ratios were calculated, and then adjusted by logistic regression. Results. A total of fifty-one patients had four or more episodes of vulvovaginal candidiasis during the last year (cases), and 132 patients with one to three episodes of vulvovaginal candidiasis were sampled as controls, matched by age. The only two significant associations were found between recurrent vulvovaginal candidiasis and continual wearing of panty liners during the last year (Odds ratio - ORadjusted: 3.97; confidence interval - CI: 1.57-10.02; p = 0.004), and between recurrent vulvovaginal candidiasis and predominant use of vaginal tampons during menstruation in the last year (ORadjusted: 4.25; CI: 1.11-16.27; p = 0.035). The synergistic effect was observed for the concurrent continual wearing of panty liners during the last year and selfmedication with antimycotics. Conclusions. Local factors, like wearing of panty liners or use of tampons during menstruation, may promote recurrence of vulvovaginal candidiasis, especially in patients who practice selfmedication with antimycotics.http://www.doiserbia.nb.rs/img/doi/0042-8450/2010/0042-84501010819J.pdfcandidiasis, vulvovaginalrecurrencerisk factorsriskdata interpretation, statistical
spellingShingle Janković Slobodan
Bojović Dragica
Vukadinović Dubravka
Daglar Elmedina
Janković Marija
Laudanović Dragomir
Lukić Vladan
Mišković Vesna
Potpara Zorica
Projović Ivana
Čokanović Vesna
Petrović Nadežda
Folić Marko
Savić Viktorija
Risk factors for recurrent vulvovaginal candidiasis
Vojnosanitetski Pregled
candidiasis, vulvovaginal
recurrence
risk factors
risk
data interpretation, statistical
title Risk factors for recurrent vulvovaginal candidiasis
title_full Risk factors for recurrent vulvovaginal candidiasis
title_fullStr Risk factors for recurrent vulvovaginal candidiasis
title_full_unstemmed Risk factors for recurrent vulvovaginal candidiasis
title_short Risk factors for recurrent vulvovaginal candidiasis
title_sort risk factors for recurrent vulvovaginal candidiasis
topic candidiasis, vulvovaginal
recurrence
risk factors
risk
data interpretation, statistical
url http://www.doiserbia.nb.rs/img/doi/0042-8450/2010/0042-84501010819J.pdf
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