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PREVALENCE OF CANDIDIASIS AMONG PRE AND POST VESICO-VAGINAL FISTULA REPAIR PATIENTS AT MARYAM ABACHA WOMEN AND CHILDREN HOSPITAL SOKOTO IN NIGERIA
M. T. Bello and A. Waziri

ABSTRACT
A study was conducted in order to assess the menace of candidiasis in a less privileged and predisposed women or group in Sokoto state Nigeria. The study was conducted from January to December 2014, to determine the prevalence of vaginal Candidiasis among patients with pre and post vesico vaginal fistulae (VVF) repair. A total of 200 high vaginal swap (HVS) samples were collected using random sampling technique from pre and post VVF repair patients 100 each. The samples were cultured on sabouraud dextrose agar and incubated at 35ÂșC for 48-72 hours. Germ tube test was conducted on positive cultures as confirmatory test for Candida albicans. One hundred and twenty (120) (60%) samples were positive which comprised 20 (20%) samples from pre VVF repair patients and all 100 (100%) samples from post VVF repair patients. Out of 120 positive cultures; 68 (56%) were germ tube test positive, whereas 52 (44%) were negative. This study indicates that out of 200 samples only 68 (34%) of both pre and post VVF repair patients attending Maryam Abacha Women and Children Clinic during the study period were having candidiasis, whereas 60 (25%) were having other fungal infections, but only 20 (20%) of pre VVF repair patient have candidiasis, the rest 80; (80%) have no any fungal infections. The present findings indicate that vaginal candidiasis is more prevalent in post VVF repair patients than pre VVF repair patients. Besides the severe social consequences, overlooking the presence of pathogenic microorganisms in pre and post VVF repair patients may lead to further complications such as severe candidiasis, pyelonephritis and pelvic inflammation. Therefore, urgent treatment, prevention and control measures are needed to reduce the menace of these poverty related infections.


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