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Managing chronic recurring disease
Determining the etiology of infectious vaginitis when other tests have been uninformative
When this test is ordered, the reflex tests may be performed and charged.
Candidal vulvovaginitis is believed to be the most frequent or second most frequent vaginal infection. Depending on the geographical area, its prevalence in women is estimated to be in the range of 5% to 20%. Besides Candida albicans, Candida glabrata, and Candida tropicalis are the most frequently isolated Candida species both from vulvo-vaginitis patients and from healthy carriers.
If positive, yeast will be identified.
Meaningful diagnosis of vaginal candidiasis requires that 1) yeast are demonstrable in the affected area and 2) clinical symptoms and signs are consistent with the disease. Since in up to 20% of healthy women, yeast cells are part of the normal vaginal flora, the presence of Candida on culture may be meaningless or misleading unless other clinical factors are considered.
1. McCormack WM: Vulvovaginitis and cervicitis. In Principles and Practice of Infectious Diseases. Sixth edition. Edited by GL Mandell, JE Bennett, R Dolin: Philadelphia, Elsevier Inc, 2005, pp 1357-1372
2. Sutton DA: Specimen collection, transport, and processing: Mycology. In Manual of Clinical Microbiology. Ninth edition. Edited by PR Murray, EJ Baron, et al: Washington DC. ASM Press, 2007, pp 1728-1736