A comparison of single-dose oral fluconazole with 3-day intravaginal clotrimazole in the treatment of vaginal candidiasis |
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Authors: | G M Andersen J Barrat T Bergan K W Brammer J Cohen P Dcllenbach E Diernaes E Dorazil H Gjonnaess F Jerve M Klausen A Lassus R Lundgren C Marhic F Plantema D Serfaty R Taurelle B Thommessen |
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Institution: | Oslo, Norway;Paris, France;Oslo, Norway;Kent, UK;Paris, France;Schiltigheim, France;Vejle, Denmark;Abensberg, Germany;Oslo, Norway;Oslo, Norway;Tonsberg, Norway;Helsinki, Finland;Troraso, Norway;Saint Mande, France;Ae Boxtel, The Netherlands;Paris, France;Paris, France;Oslo, Norway. |
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Abstract: | Summary. A total of 369 women with clinical and mycological evidence of vaginal candidiasis received treatment, after random allocation, with either a single oral 150-mg dose of fluconazole (188 women) or 200 mg of intravaginal clotrimazole given daily for 3 consecutive days (181 women). They were assessed at 5–16 days and again at 27–62 days after treatment. Candida species were completely eradicated from the vagina in 72% of the fluconazole group and in 62% of the clotrimazole group at the long-term assessment (P=0·07). Favourable clinical responses were obtained in 99% of the fluconazole group and in 97% of the clotrimazole group at the short-term assessment and in 93% and 84% respectively at the long-term assessment when there was a significant advantage for fluconazole treatment (P=0·02). Symptoms in patients receiving fluconazole were relieved more rapidly (P<0·001). Treatment-related side-effects were few and minor in both groups. It is concluded that treatment of vaginal candidiasis with fluconazole, as a single oral dose, was more effective in the long term, relieved symptoms more rapidly, and was as safe as treatment with intravaginal clotrimazole. |
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