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Vulvovaginal candidiasis in patients attending the Buea Regional Hospital-Cameroon: Prevalence and risk factors

Damian Nsongmayi Ekwi, Fabrice Ngwa Ambe.


Introduction: Infection of the female vulva and vagina due to Candida species results in Vulvovaginal candidiasis (VVC). Indiscriminate drug use causing drug resistance and varying lifestyle factors have led to increased spread of the infection. If early laboratory identification and confirmation is not done, this may evolve to serious genital abnormalities and the main reason for increase hospital consultations.
Objective: To determine the prevalence of VVC in reproductive age women at Buea regional hospital and possible predisposing factors for its cause.
Materials and Methods: We carried out a cross-sectional descriptive study from February to May 2023 in women between the ages 15-45 years attending the Buea Regional Hospital. Sterile vaginal swabs were employed to collect samples and then culture was done using Sabouraud Dextrose Agar. Gram staining and microscopy were conducted to isolate Candida. CHROMagar differential agar and germ tube tests, were used to differentiate the various species of Candida. Pre-tested questionnaires were used to collect socio-demographic and clinical data. Management and analyses of data were done using the SPSS version 22.0 and a significant relationship among variables was obtained when P35 years (77.8%). Participants who were single, married and students, had a prevalence of 63.2%, 39.5%, 67.5%, respectively (P

Key words: Buea; Candida albicans; douching; prevalence; risk factors; vulvovaginal candidiasis

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