Recurrent vulvovaginal candidiasis, mycoplasma, chlamydia infection
O 2005 1O our hospital because of recurrent genital itching and (or) leucorrhea, the clinical diagnosis of vulvovaginal candidiasis (with VVC) 1 year, patients or sexual partners, history of dirty sex in 21 cases, patients or sexual partners of travel or travel history of 315 cases, 103 cases of unknown causes. 1.2 Methods 1.2.1 vaginal fornix secretions smear (referred to as smear) using multi-functional dye (Hunan daughter Pharmaceutical), Gram stain, according to Clinical Laboratory Procedures issued by the Clinical Laboratory Center , ..., vaginal cleanliness is divided into: degree I, II, III degree,
ugg online, IV degree. 1.2.2 The discharge from the cervical canal, chlamydia, mycoplasma culture (referred to as culture), Chlamydia trachomatis (CT) training: fast disk diffusion method (Li-Ming, UK) monoclonal antigen determination; urealyticum (Uu, Mh) culture: use of liquid culture (Shenzhen Korea ball produced reagents) Check. 1.3-diagnosis of vulvovaginal candidiasis incidence frequency of ≥ 4 times per year, eliminate the adverse factors, pregnancy, diabetes, immune functional disorder; or anti-fungal treatment of clinical symptoms and signs disappeared, mycological examination was negative three cycles. to occur vvC again can be diagnosed as RVVC. RVVC leucorrhea conventional results in the two results: Cleanliness I ° 0 cases, cleanliness Ⅱ 52 cases, cleanliness III 231 cases, cleanliness IV 156 cases. Cervical secretions culture: cleanliness degree Ⅱ 52 cases UUh positive in 7 cases, CT was positive in 0 cases; the Cleanliness third degree 231 cases, UUh positive in 74 cases. 48 cases of Chlamydia, which Uu + CT was positive in 17 cases; cleanliness Ⅳ degree of 156 cases, uU / Mh was positive in 81 cases, 33 cases of Chlamydia, which Uu + CT was positive in 13 cases. Table 1. Seen from Table 1, with the increase in the cleanliness of the vagina, mycoplasma and chlamydia infection rates increased, but no difference in the cleanliness degree III and IV of the chlamydia infection rate. With the increase in the cleanliness of the vagina,
canada goose outlet, mycoplasma and chlamydia infection increased, namely, increased vaginal mixed infection; cleanliness degrees III and IV Author: 510150 Guangzhou, Guangdong Province, Guangzhou City People's Hospital gynecological Institute · 837 · Table 1439 cases of vaginal cleanliness patients with mycoplasma, chlamydia test results (for example,%) Note: The group asked (a test), * P 0.05 Mycoplasma plus Chlamydia mixed infection increased. 3 Discussion The results show that with increasing cleanliness of the vagina, mycoplasma, chlamydia-positive rate with an increasing positive correlation, Mycoplasma, Chlamydia mixed infection and only in the cleanliness Ⅲ degree and above. Uu infection rate in the first place, and reported in the literature similar to L-4J. 8O% of recurrent VVC patients with vaginal cleanliness in grade Ⅲ and above, of which more than 50 percent of cleanliness III degrees; with increasing vaginal cleanliness,
ugg italia, mycoplasma, chlamydia-positive rate also will be increased . In the cleanliness Ⅲ ~ Ⅳ degree RWC patients about 3O% of patients with cervical Mycoplasma or chlamydial infection, the proportion is higher. In the previous the RVVC treatment programs, most of the emphasis on the removal and treatment of Candida, infections and did not attract enough attention, the RWC treatment recurrence rate, at home and abroad are not a unified, proven solutions. Women infected with mycoplasma, chlamydia often lead to serious complications, such as: cervicitis, endometritis, pelvic inflammatory disease,
ugg online, ectopic pregnancy, spontaneous abortion, stillbirth, and infertility and so on. Therefore, the RWC patients should be routinely endocervical mycoplasma, chlamydia screening and the treatment of complicated infection is necessary. To sum up, RVVC and mycoplasma, chlamydia is relevant, treatment of vvC and merger of mycoplasma, chlamydia infections, can achieve the best therapeutic effect and improve the cure rate of RWC.
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