Comparative Study of the Effectiveness of Oral Fluconazole and Intravaginal Clotrimazole in the Treatment of Vaginal Candidiasis
1995

Comparing Oral Fluconazole and Intravaginal Clotrimazole for Vaginal Candidiasis

Sample size: 150 publication Evidence: moderate

Author Information

Author(s): Hiroshige Mikamo, Koji Izumi, Kunihiko Ito, Teruhiko Tamaya

Primary Institution: Gifu University

Hypothesis

Is oral fluconazole more effective than intravaginal clotrimazole in treating vaginal candidiasis?

Conclusion

Oral fluconazole is effective for treating vaginal candidiasis, and a single dose may be a viable treatment option.

Supporting Evidence

  • 88% of women treated with 50 mg of oral fluconazole daily for 6 days had Candida eradicated at short-term assessment.
  • 92% clinical effectiveness was observed in the same group at short-term assessment.
  • Treatment-related side effects were not found in any group.

Takeaway

This study looked at how well two different medicines work for a yeast infection in women. It found that one medicine, fluconazole, works really well.

Methodology

150 women with vaginal candidiasis were randomized to receive different treatment regimens and assessed at short-term and long-term intervals.

Limitations

The small number of patients may limit the statistical power of the study.

Participant Demographics

Mean age of participants was 32.5 years, with a range of 18-54 years.

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