Vulvovaginal candidosis caused by <em>Candida non-albicans</em>, proportion and clinical characteristics in the Dr. Cipto Mangunkusumo National General Hospital, Jakarta

<p>The prevalence of vulvovaginal candidosis (VVC) caused by <em>C. non-albicans</em> tends to increase, recently. The aim of this study was to obtain data about proportion and clinical characteristic of <em>C. non-albicans</em> VVC at dr. Cipto Mangunkusumo General Hospital, Jakarta. This is a cross-sectional study on all female patients with symptoms of VVC visiting Obstetri-gynaecology and Dermatovenereology outpatient clinics at dr. Cipto Mangunkusumo General Hospital, Jakarta. All subjects had positive Gram stain, showed <em>Candida spp.</em> on culture with CHROMagar Candida, and had no other specific genital infections. Sixty nine subjects aged 26–44 years old (averaged 29 years old) were included in this study. <em>Candida non-albicans</em> was found in 30.4% subject, and consisted of: <em>C. glabrata</em> (61.9%), <em>C. tropicalis</em> (28.6%) and <em>C. parapsilosis</em> (9.5%). We found that <em>C. non-albicans</em> VVC infections are more common in women above 45 years old, using non-hormonal contraceptives, whose sexual partner has erythema and pruritus in glands penis, and having the disease for more than 1 year. No differences in clinical symptoms were noted between <em>C. albicans</em> and <em>C. non-albicans</em> infection. We concluded from this study that the proportion of <em>C. non-albicans</em> infections at dr. Cipto Mangunkusumo General Hospital, Jakarta, with <em>C. glabrata</em> represents the most prevalent species. No characteristic clinical symptoms were found from the subjects with <em>C. non-albicans</em> VVC when compared with those infected by <em>C. albicans</em>. <em><strong>(Med J Indones 2003; 12: 142-7) </strong></em></p><p><strong>Keywords:</strong> <em>vulvovaginal candidosis, Candida non-albicans, CHROMagar Candida</em></p

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International Journal of Occupational and Environmental Health123254-258IOEH