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Am J Obstet Gynecol. 2005 Jun;192(6):2009-12; discussion 2012-3.

Treatment of non-albicans Candida vaginitis with amphotericin B vaginal suppositories.

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  • 1Department of Obstetrics and Gynecology, University of Southern California, Los Angeles, USA. ajphillips@pol.net

Abstract

OBJECTIVE:

This study was undertaken to investigate whether amphotericin B vaginal suppositories would be effective in the treatment of non- albicans Candida vaginitis in women who failed conventional therapy.

STUDY DESIGN:

Thirty-two patients were identified with non- albicans Candida vaginitis. These patients were treated with conventional antifungal agents. Ten patients had persistence of the non- albicans Candida infection after treatment. Amphotericin B 50-mg vaginal suppositories were given nightly for 14 days to this subgroup of treatment failures.

RESULTS:

Of 10 women, 8 (80%) who were treated with amphotericin B vaginally initially showed no further infection. One of the treatment successes had 2 recurrences and responded to a second course of amphotericin B but failed a third course. If this patient is considered a treatment failure, then amphotericin B vaginal suppositories were successful in 70% of patients. The medication was well tolerated and local side effects were minimal.

CONCLUSION:

Amphotericin B vaginal suppositories are a viable treatment option for refractory vaginitis caused by non- albicans Candida .

[PubMed - indexed for MEDLINE]
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