Chamomile Extract versus Clotrimazole Vaginal Cream in Treatment of Vulvovaginal Candidiasis: A Randomized Double-Blind Control Trial
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Objectives: Vulvovaginal candidiasis (VVC) treatment is advised for all women due to its symptoms and complications. In this study, the standard treatment, clotrimazole, was compared with chamomile extract cream in outpatient clinics. Methods: We recruited 73 women with VVC, who were randomly allocated into two groups, clotrimazole versus chamomile extract cream. After two weeks of treatment with the same criteria, cheese-like vaginal discharge, itching and burning sensations, strawberry cervix, and recovery percentage was evaluated. Results: Thirty patients in each group were analyzed. There was no significant difference in age and number of pregnancies between groups (p = 0.85 and 0.09, respectively). Comparing before and after treatment, cheese like discharge (p < 0.001), itching (p < 0.001), burning (p < 0.001) had significantly improved in both groups. Further, the re-covery percentage was not significantly different between groups (88.9% vs 75% in the chamomile vs clotrimazole groups, respectively). Conclusion: Chamomile is as effective as clotrimazole in VVC treatment; a higher percentage of women who used this medication recovered, although this did not reach significance. In addition, no complications were reported in either group.
Abstract
Objectives: Vulvovaginal candidiasis (VVC) treatment is advised for all women due to its symptoms and complications. In this study, the standard treatment, clotrimazole, was compared with chamomile extract cream in outpatient clinics. Methods: We recruited 73 women with VVC, who were randomly allocated into two groups, clotrimazole versus chamomile extract cream. After two weeks of treatment with the same criteria, cheese-like vaginal discharge, itching and burning sensations, strawberry cervix, and recovery percentage was evaluated. Results: Thirty patients in each group were analyzed. There was no significant difference in age and number of pregnancies between groups (p = 0.85 and 0.09, respectively). Comparing before and after treatment, cheese like discharge (p < 0.001), itching (p < 0.001), burning (p < 0.001) had significantly improved in both groups. Further, the re-covery percentage was not significantly different between groups (88.9% vs 75% in the chamomile vs clotrimazole groups, respectively). Conclusion: Chamomile is as effective as clotrimazole in VVC treatment; a higher percentage of women who used this medication recovered, although this did not reach significance. In addition, no complications were reported in either group.
참고문헌 (15)
- Spence D, "Candidiasis(vulvovaginal)", BMJ Clin Evid, 2010, pp.0815~ (2010)
- Sobel JD, "Recurrent vulvovaginal candidiasis", Am J Obstet Gynecol, 214(1), pp.15~21 (2016)
- Dovnik A, "Treatment of vulvovaginal candidiasis : a review of the literature", Acta Dermatovenerol Alp Pannonica Adriat, 24(1), pp.5~7 (2015)
- Cowen LE, "Mechanisms of antifungal drug resistance", Cold Spring Harb Perspect Med, 5(7), pp.a019752~ (2014)
- Zhou X, "The efficacy and safety of clotrimazole vaginal tablet vs. oral fluconazole in treating severe vulvovaginal candidiasis", Mycoses, 59(7), pp.419~428 (2016)
- Satthakarn S, "Vaginal innate immune mediators are modulated by a water extract of Houttuynia cordata Thunb", BMC Complement Altern Med, 15, pp.183~ (2015)
- Ahangari F, "Comparing the effectiveness of Salvia officinalis, clotrimazole and their combination on vulvovaginal candidiasis : a randomized, controlled clinical trial", J Obstet Gynaecol Res, 45(4), pp.897~907 (2019)
- Miraj S, "A systematic review study of therapeutic effects of Matricaria recuitta chamomile(chamomile)", Electron Physician, 8(9), pp.3024~3031 (2016)
- Ghonime M, "Evaluation of immunomodulatory effect of three herbal plants growing in Egypt", Immunopharmacol Immunotoxicol, 33(1), pp.141~145 (2011)
- Lin TK, "Anti-inflammatory and skin barrier repair effects of topical application of some plant oils", Int J Mol Sci, 19(1), pp.70~ (2017)
- Li W, "Influence of nursing intervention on recurrent vulvovaginal candidiasis patients treated with ATP-infrared bio-effect technique", Iran J Public Health, 47(10), pp.1511~1519 (2018)
- Tulasidas S, "A study on biofilm production and antifungal drug resistance among Candida species from vulvovaginal and bloodstream infections", Infect Drug Resist, 11, pp.2443~2448 (2018)
- Agusti G, "Viable quantitative PCR for assessing the response of Candida albicans to antifungal treatment", Appl Microbiol Biotechnol, 97(1), pp.341~349 (2013)
- Motealleh B, "Morphology, drug release, antibacterial, cell proliferation, and histology studies of chamomile-loaded wound dressing mats based on electrospun nanofibrous poly(εcaprolactone)", polystyrene blends, 2014, pp.102(5), 977~987
- Ortiz-Bautista RJ, "Matricaria chamomilla(aqueous extract)improves atopic dermatitis-like lesions in a murine model", Rev Med Inst Mex Seguro Soc, 55(5), pp.587~593 (2017)[DOI]
