Comparison of Clotrimazole and Boric Acid in Treatment of Complicated Vulvovaginal Candidiasis

BACKGROUND AND OBJECTIVE: Vulvovaginal candidiasis is a frequent disease among women and the complicated one is more resistant to treatment. It has a high recurrence rate. This study was carried out to compare two treatment regimens: intravaginal clotimazole and boric acid for treatment and recurren...

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Autores principales: M Zeinalzadeh, M Mohammadian Amiri, Z Basirat, M Sharbatdaran, M Aklamli, A Bijani
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Publicado: Babol University of Medical Sciences 2009
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spelling oai:doaj.org-article:3e1271cfbb0c45998489de1fb543b44c2021-11-10T09:02:52ZComparison of Clotrimazole and Boric Acid in Treatment of Complicated Vulvovaginal Candidiasis1561-41072251-7170https://doaj.org/article/3e1271cfbb0c45998489de1fb543b44c2009-08-01T00:00:00Zhttp://jbums.org/article-1-3220-en.htmlhttps://doaj.org/toc/1561-4107https://doaj.org/toc/2251-7170BACKGROUND AND OBJECTIVE: Vulvovaginal candidiasis is a frequent disease among women and the complicated one is more resistant to treatment. It has a high recurrence rate. This study was carried out to compare two treatment regimens: intravaginal clotimazole and boric acid for treatment and recurrence rate of complicated vulvovaginitis.METHODS: This clinical trial study was performed on 60 women with clinical and mycological evidence of complicated vaginal candidiasis that referred to Yahyanejad hospital, Babol, Iran. They were randomized to receive daily intravaginal boric acid for 14 days (30 women) or daily intravaginal clotrimazole for 14 days (30 women). They were assessed 1 month and 3 months after treatment and compared together. FINDINGS: Twenty three patients (76.7%) was cured clinically for inflammation and 25 patients (83.3%) for discharge and 18 patients (60%) microscopically in clotrimazole group and 24 patients (80%) was cured clinically for inflammation and discharge and 19 patients (63.3%) microscopically in boric acid group. The rate of microscopically recurrence was 7 patients (38.9%) in clotrimazole group and 5 patients (26.3%) in boric acid group. These differences were not statistically significant.CONCLUSION: The study suggests that boric acid or clotrimazole is effective in treatment and recurrence of complicated vaginal candidasis. It is more cost effective to use boric acid.M Zeinalzadeh,M Mohammadian AmiriZ BasiratM Sharbatdaran,M Aklamli,A BijaniBabol University of Medical Sciencesarticlecandidasisclotrimazoleboric acidvulvovaginitisMedicineRMedicine (General)R5-920ENFAMajallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul, Vol 11, Iss 3, Pp 26-31 (2009)
institution DOAJ
collection DOAJ
language EN
FA
topic candidasis
clotrimazole
boric acid
vulvovaginitis
Medicine
R
Medicine (General)
R5-920
spellingShingle candidasis
clotrimazole
boric acid
vulvovaginitis
Medicine
R
Medicine (General)
R5-920
M Zeinalzadeh,
M Mohammadian Amiri
Z Basirat
M Sharbatdaran,
M Aklamli,
A Bijani
Comparison of Clotrimazole and Boric Acid in Treatment of Complicated Vulvovaginal Candidiasis
description BACKGROUND AND OBJECTIVE: Vulvovaginal candidiasis is a frequent disease among women and the complicated one is more resistant to treatment. It has a high recurrence rate. This study was carried out to compare two treatment regimens: intravaginal clotimazole and boric acid for treatment and recurrence rate of complicated vulvovaginitis.METHODS: This clinical trial study was performed on 60 women with clinical and mycological evidence of complicated vaginal candidiasis that referred to Yahyanejad hospital, Babol, Iran. They were randomized to receive daily intravaginal boric acid for 14 days (30 women) or daily intravaginal clotrimazole for 14 days (30 women). They were assessed 1 month and 3 months after treatment and compared together. FINDINGS: Twenty three patients (76.7%) was cured clinically for inflammation and 25 patients (83.3%) for discharge and 18 patients (60%) microscopically in clotrimazole group and 24 patients (80%) was cured clinically for inflammation and discharge and 19 patients (63.3%) microscopically in boric acid group. The rate of microscopically recurrence was 7 patients (38.9%) in clotrimazole group and 5 patients (26.3%) in boric acid group. These differences were not statistically significant.CONCLUSION: The study suggests that boric acid or clotrimazole is effective in treatment and recurrence of complicated vaginal candidasis. It is more cost effective to use boric acid.
format article
author M Zeinalzadeh,
M Mohammadian Amiri
Z Basirat
M Sharbatdaran,
M Aklamli,
A Bijani
author_facet M Zeinalzadeh,
M Mohammadian Amiri
Z Basirat
M Sharbatdaran,
M Aklamli,
A Bijani
author_sort M Zeinalzadeh,
title Comparison of Clotrimazole and Boric Acid in Treatment of Complicated Vulvovaginal Candidiasis
title_short Comparison of Clotrimazole and Boric Acid in Treatment of Complicated Vulvovaginal Candidiasis
title_full Comparison of Clotrimazole and Boric Acid in Treatment of Complicated Vulvovaginal Candidiasis
title_fullStr Comparison of Clotrimazole and Boric Acid in Treatment of Complicated Vulvovaginal Candidiasis
title_full_unstemmed Comparison of Clotrimazole and Boric Acid in Treatment of Complicated Vulvovaginal Candidiasis
title_sort comparison of clotrimazole and boric acid in treatment of complicated vulvovaginal candidiasis
publisher Babol University of Medical Sciences
publishDate 2009
url https://doaj.org/article/3e1271cfbb0c45998489de1fb543b44c
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