Research progress of pathogenesis and resistance mechanism of vulvovaginal candidiasis
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摘要: 念珠菌性阴道炎(vulvovaginal candidiasis,VVC)是一种主要由白色念珠菌感染所致的机会性黏膜感染,主要表现为豆腐渣样白带及外阴瘙痒,是女性阴道感染中最常见的疾病之一。约75%的育龄妇女一生中至少经历过一次念珠菌性阴道炎,其中约半数病例会再次发作,5%~8%的病例发展为复发性念珠菌性阴道炎。近年来,由于滥用广谱抗生素及免疫抑制剂等,VVC的发病率呈逐年上升趋势。临床上采用局部或全身的抗真菌药物,但这些药物常引起阴道微生态失调,黏膜屏障破坏,停止用药后复发率极高,且随着这些药物的长期应用,真菌的耐药性大大增加,使念珠菌性阴道炎的治疗更加困难。故本文就念珠菌性阴道炎的发病机制及耐药机制的研究进展进行综述,以期为临床治疗提供新思路。Abstract: Vulvovaginal candidiasis(VVC),a kind of opportunistic mucosal infection caused by candida albicans infection,is one of the leading causes of infection diseases in women's vagina,with shoddy school sample leucorrhea and vulvar itching.It is estimated that VVC affects about 75% reproductive women during their lifetime,among which approximately half will experience further episodes.In addition,a small percentage of women(5%-8%) will develop the recurrent vulvovaginal candidiasis(RVVC).In recent years,the incidence rate of VVC has been obviously increased because of the abuse of antibiotics and immunity inhibitors.Several strategies have been adopted at clinical in order to prevent and cure the vulvovaginal candidiasis.However,most of candida species have been shown to develop resistance to the conventional antifungal drugs,posing a serious threat to the health of patients.Therefore,revealing the pathogenesis of vulvovaginal candidiasis and its drug resistance mechanism has important guiding significance for its prevention and control.
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Key words:
- Vulvovaginal candidiasis /
- Pathogenesis /
- Resistance mechanism
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