"Not thrush again!" Women's experience of post-antibiotic vulvovaginitis
"Not thrush again!" Women's experience of post-antibiotic vulvovaginitis
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DOI：
10.5694/j.1326-5377.2003.tb05418.x
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发表时间：
2003-07-07
影响因子：
11.4
通讯作者：
Chondros, P
中科院分区：
文献类型：
--
作者：
Pirotta, MV;Gunn, JM;Chondros, P
目的：要检查抗生素后外阴阴道炎（PAV）的频率，描述妇女如何预防和治疗PAV，并确定是否关注PAV影响他们的决定服用antibiotics.Design：横断面调查使用书面questionnaire.Setting和参与者：五个一般的做法在西北部墨尔本，在2000年2月等候室。对1298名18-70岁的妇女进行调查，主要观察指标：外阴阴道炎和PAV的症状和治疗。35%的妇女报告曾患有PAV，73%的妇女报告曾有暗示外阴阴道念珠菌病的症状。抗真菌药物和益生菌产品或酸奶是最受欢迎的预防（49%，40%）和治疗（63%，43%）PAV。接受调查的妇女很少使用其他家庭疗法，如茶树油、醋、饮食和衣着调整。上个月服用抗生素的妇女中有23%出现外阴阴道炎症状。在曾经患有外阴阴道炎的女性中，35%的人在使用抗生素时中度到非常担心PAV的发展。由于这种担忧，大约五分之一的这些妇女不会采取处方antibiotics.Conclusions：关注PAV影响妇女的抗生素使用的决策。许多妇女使用未经证实的补充疗法来预防或治疗PAV。在开抗生素时，医生应与患者讨论PAV的风险及其管理。
Objectives: To examine the frequency of post-antibiotic vulvovaginitis (PAV); describe how women prevent and treat PAV; and determine whether concern about PAV affects their decisions about taking antibiotics.Design: Cross-sectional survey using a written questionnaire.Setting and participants: Five general practice waiting rooms in north-western Melbourne, in February 2000. 1298 women aged 18-70 years were surveyed.Main outcome measures: Self-reported symptoms and management of vulvovaginitis and PAV.Results: The response rate was 86%. Thirty-five per cent of women reported ever having PAV and 73% reported ever having symptoms suggestive of vulvovaginal candidiasis. Antifungal medications and lactobacillus products or yoghurt were most popular for both prevention (49%, 40%) and treatment (63%, 43%) of PAV. Other home remedies such as tea tree oil, vinegar, and dietary and clothing modification were infrequently used by the women surveyed. Twenty-three per cent of women who had taken antibiotics in the previous month had experienced symptoms of vulvovaginitis. Of women who had ever had vulvovaginitis, 35% were moderately to very concerned about developing PAV when prescribed antibiotics. Because of this concern, around a fifth of these women would not take prescribed antibiotics.Conclusions: Concern about PAV affects women's decision-making regarding antibiotic use. Many women use unproven complementary therapies to prevent or treat PAV. When prescribing antibiotics, doctors should discuss the risks of PAV and its management with patients.