Clinical Study

Determinants of Symptomatic Vulvovaginal Candidiasis among Human Immunodeficiency Virus Type 1 Infected Women in Rural KwaZulu-Natal, South Africa

Table 1

Baseline characteristics of the study population ( ) who contributed symptomatic vulvovaginal candidiasis (VVC) and vaginal Candida species colonization data by human immunodeficiency virus (HIV) serostatus.

CharacteristicsHIV-infected 
HIV-uninfected 
value

Age in years, median (range)<0.0001
 21 (18–24)34 (35)69 (68.3)
 30 (25–34)48 (49.5)19 (18.8)
 40.2 (35–46)15 (15.5)13 (12.9)
Major presenting symptoms 0.008
 Genital itching and soreness87 (89.7)76 (75.3)
 vaginal discharge and low abdominal pain 10 (10.3)25 (24.7)
 History of antibiotic use within the past 3 months64 (65.9)49 (48.5)0.013
Condom use25 (25.8)14 (13.9)0.035
Pregnancy4 (4.1)19 (18.8)<0.001
History of sexually transmitted infections (STIs) within the past 3 months0.093
 Vaginal discharge syndrome42 (43.3)36 (35.6)
 Genital ulcer syndrome 13 (13.4)7 (6.9)
 No defined sexually transmitted infection42 (43.3)58 (57.4)
Currently isolated pathogens for STIs0.085
Trichomonas  vaginalis 15 (15.5)16 (15.8)0.683
 Chlamydia  trachomatis7 (7.2)4 (3.9)0.228
 Neisseria  gonorrhoeae6 (6.2)5 (4.9)0.516
Mycoplasma  genitalium 2 (2.1)1 (0.9)0.456
 Herpes simplex virus type 28 (8.3)0 (0)0.999
 STI caused by more than 1 aetiology13 (13.4)17 (16.8)0.93
 No identified STI pathogen46 (47.4)58 (57.4)1
Vaginal flora (Nugent's score)0.819
 0 to 314 (14.4)14 (13.9)
 4 to 68 (8.3)11 (10.9)
 7 to 1075 (77.3)76 (75.3)
Absolute count of neutrophil cells in genital fluid0.77
 Score 142 (43.3)41 (40.6)
 Score 223 (23.7)21 (20.8)
 Score 332 (32.9)39 (38.6)
Symptomatic vulvovaginal candidiasis0.032
 Yes 52 (53.6)38 (37.6)
 No (colonization or absence)45 (46.4)63 (62.4)
CD4+ T cell count (cells/mm3)
 <20041 (42.3)N/AN/A
 200 to 349 32 (33)N/AN/A
 ≥35024 (24.7)N/AN/A
Plasma HIV viral load (copies/mL)
 ≥10 00022 (22.7)N/AN/A
 20 to 999951 (52.6)N/AN/A
 <2024 (24.7)N/AN/A
Genital HIV viral load (copies/mL)
 ≥10 00012 (12.4)N/AN/A
 20 to 999921 (21.7)N/AN/A
 <2064 (65.9)N/AN/A
Users of highly active antiretroviral therapy
 Yes60 (61.9)N/AN/A
 No37 (38.1)N/AN/A

N/A: not applicable.