Detection and Epidemiology of Vulvovaginal Candidiasis among Asymptomatic Pregnant Women Attending a Tertiary Hospital in Ogbomoso, Nigeria
AbstractVulvovaginal candidiasis (VVC) is caused by the overgrowth of Candida species, most commonly Candida albicans in the vagina and is characterized by curd-like vaginal discharge, itching and erythema. This study was conducted to determine the prevalence and to emphasize the need for proper detection of vulvovaginal candidiasis among asymptomatic pregnant women. A total of 140 pregnant women aged between 20-49 years and of gestation age of 14-36 weeks were recruited for this study. High Vaginal swabs were collected under aseptic condition. Samples collected were analyzed within one hour of collection using microscopy and culture methods. The isolates were further subjected to Germ tube test (GTT) and chromogenic agar test (CHROMagar). The rate of Candida infection was found to be 25% (n=35) among the pregnant women. The peak age of infection was 20-29 years 33.8% (n=26), no woman between the age 40 to 49 years had candidiasis. Candidiasis was significantly detected in pregnant women in the second trimester compared to those in the first (?2=5.952; p <0.05) and third trimesters ((?2=9.282; p <0.05). This study revealed a high incidence of asymptomatic vulvovaginal candidiasis among pregnant women in Ogbomoso and various Candida spp responsible for VVC were identified.
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