Candida vaginitis


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Related to Candida vaginitis: Yeast infection, Candida albicans
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vaginitis

 [vaj″ĭ-ni´tis]
1. inflammation of any sheathlike structure.
2. inflammation of the vagina; called also colpitis.

Etiology. Inflammation of the vaginal mucosa is invariably related to a disturbance in normal vaginal physiology. A healthy vagina depends on (1) normal estrogen secretion to maintain a thick squamous epithelium containing glycogen and (2) chemical reactions beginning with the glycogen thus available. The glycogen stimulates the growth of lactobacilli, which are beneficial normal vaginal flora that metabolize glycogen to form lactic acid. The lactic acid maintains vaginal acidity at a pH of 4.0 to 4.5.



Tampons, condoms, neglected diaphragms, and irritating douches or deodorant sprays can upset the vagina's environmental balance and produce abnormal vaginal discharge. Hyperglycemia and antibiotics can also disturb this balance. However, infectious agents are the most common cause of vaginitis; these include Trichomonas and Candida. (See also bacterial vaginosis.) Characteristics of these types of vaginitis and medical treatment and nursing intervention are summarized in the accompanying table.
Patient Education. Patients with infectious vaginitis need to know the purpose and importance of diagnostic testing and examination to verify a diagnosis, the specific type of infection or infections thus identified, and changes that may need to be made in their sexual activity to avoid reinfection. Sexual intercourse is avoided while active symptoms are present. Concurrent treatment of the partner is often necessary to avoid cyclic reinfection of one another. Condoms are encouraged because they can provide both the man and woman with some protection against sexually transmitted diseases.



In regard to prescribed treatment, the patient should be instructed to take all of the medication exactly as prescribed; a follow-up examination and testing may be necessary. If the woman has a cervical Pap smear done while she has vaginitis, there may be an abnormal test result.
adhesive vaginitis atrophic vaginitis with ulceration and exfoliation of the mucosa result in adhesions of the membranes; opposite surfaces may adhere to each other, causing obliteration of the vaginal canal. Called also senile vaginitis.
atrophic vaginitis vaginitis occurring in postmenopausal women, associated with estrogen deficiency. The two most common types are senile vulvovaginitis and adhesive vaginitis.
Candida vaginitis (candidal vaginitis) vulvovaginal candidiasis.
desquamative inflammatory vaginitis a form resembling atrophic vaginitis but affecting women with normal estrogen levels.
emphysematous vaginitis inflammation of the vagina and adjacent cervix, characterized by numerous asymptomatic, gas-filled cystlike lesions.
senile vaginitis adhesive vaginitis.
References in periodicals archive ?
multiflora and clotrimazole cream on improving signs and symptoms of Candida vaginitis were demonstrated in previous studies (Islami et al., 2004 Fouladi, 2003).
Fluconazole susceptibility of vaginal isolates obtained from women with complicated Candida vaginitis: clinical implications.
A total of 34 episodes of Candida vaginitis occurred during a median follow-up of 21 months.
Clinical study of Candida vaginitis in Ahvaz, Iran and susceptibility of agents to topical antifungal.
While I've been prescribing vaginally delivered boric acid suppositories for acute and chronic candida vaginitis for the full duration of my last 28 years of clinical practice, new research continues to impress.
How useful are symptoms in the diagnosis of Candida vaginitis? J Fam Pract 1983; 16:509-511.
The trial involved 42 women with a history of Candida vaginitis and unexplained polysomatic symptoms.
The proceedings of an FDA advisory committee meeting on OTC vaginal fungicides 15 confirms the dearth of clinical studies that have examined women's capability to self-diagnose Candida vaginitis. This FDA committee meeting considered only one study, in which 59% of women who believed their symptoms were caused by a yeast infection were correct, as determined by confirmatory mycologic tests.[16]
Candida biofilm communities may explain why certain people respond to antifungals and diet without evidence of thrush, Candida vaginitis, or other forms of Candida overgrowth.
Clinical comparison microscopic and culture techniques in the diagnosis of Candida vaginitis. J Fam Pract 1984; 18:549-52.