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Candida colonization of the vagina in elderly residents of a long-term-care hospital

  • M. Dan
  • R. Segal
  • V. Marder
  • A. Leibovitz
Concise Article

Abstract

The present study was conducted in order to determine the prevalence of vaginal colonization by Candida spp in elderly residents of a long-term-care hospital and to examine the determinants of vaginal candidiasis. Vaginal swabs for Gram stain and culture were obtained from 106 bedridden residents of a long-term-care hospital (study group; mean age, 83±7 years) and a control group of 50 similarly aged women admitted to an acute-care hospital for non-genital problems (mean age, 81±8 years). The characteristics of patients who tested positive for Candida spp were compared with those who tested negative. Candida spp were isolated from 34 (32%) patients in the study group and from four (8%) control patients (p=0.001). In the study group, Candida glabrata was by far the most common species isolated (51.2%). The warm and moist environment in the perineal area created by diaper use in incontinent individuals, together with decubitus ulcers and immobilization, which are common in elderly patients receiving long-term care, might be responsible for the high occurrence of vaginal colonization with Candida in these women.

Keywords

Decubitus Ulcer Vaginitis Candida Glabrata Elderly Resident Vaginal Candidiasis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Reed BD (1992) Risk factors for Candida vulvovaginitis. Obstet Gynecol 47:551–560Google Scholar
  2. 2.
    Sobel JD (1993) Genital candidiasis. In: Bodey GP (ed) Candidiasis: pathogenesis, diagnosis and treatment. Raven, New York, pp 225–247Google Scholar
  3. 3.
    Sobel JD (1997) Vaginitis. N Engl J Med 337:1896–1903PubMedCrossRefGoogle Scholar
  4. 4.
    Fricker-Hidalgo H, Orenga S, Lebeau B, et al (2001) Evaluation of Candida ID, a new chromogenic medium for fungal isolation and preliminary identification of some yeast species. J Clin Microbiol 39:1647–1649PubMedCrossRefGoogle Scholar
  5. 5.
    Hillier SL, Lau J (1997) Vaginal microflora in postmenopausal women who have not received estrogen replacement therapy. Clin Infect Dis 25 (Suppl):123–126CrossRefGoogle Scholar
  6. 6.
    Spinillo A, Bernuzzi AM, Cevini C, Gulminetti R, Luzi S, De Santolo A (1997) The relationship of bacterial vaginosis, Candida and trichomonas infection to symptomatic vaginitis in postmenopausal women attending a vaginitis clinic. Maturitas 27:253–260PubMedCrossRefGoogle Scholar
  7. 7.
    Bauters TGM, Dhont MA, Temmerman MIL, Nelis HJ (2002) Prevalence of vulvovaginal candidiasis and susceptibility to fluconazole in women. Am J Obstet Gynecol 187:569–574PubMedCrossRefGoogle Scholar
  8. 8.
    Spinillo A, Capuzzo E, Egbe TO, Baltaro F, Nicola S, Piazzi G (1995) Torulopsis glabrata vaginitis. Obstet Gynecol 85:993–998PubMedCrossRefGoogle Scholar
  9. 9.
    Fidel Jr PL, Vazquez JA, Sobel JD (1999) Candida glabrata: review of epidemiology, pathogenesis, and clinical disease with comparison to C. albicans. Clin Microbiol Rev 12:80–96PubMedGoogle Scholar
  10. 10.
    Geiger AM, Foxman B, Sobel JD (1999) Chronic vulvovaginal candidiasis: characteristics of women with Candida albicans, C. glabrata and no Candida. Genitourin Med 1995 71:304–307Google Scholar

Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  1. 1.Infectious Diseases Unit, E. Wolfson HospitalSchool of Medicine, Tel Aviv UniversityTel AvivIsrael
  2. 2.The Geriatric Medical Center, Shmuel Harofeh HospitalTel Aviv University School of MedicineBeer YaakovIsrael

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