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The prevalence and clinical significance of intraamniotic infection with Candida species in women with preterm labor

W. Chaim1, 2 Contact Information, M. Mazor1, 2 and A. Wiznitzer1, 2

(1)  Division of Obstetrics and Gynecology, Soroka Medical Center, P.O. Box 151, Israel
(2)  the Faculty of Health Sciences, Ben Gurion University of the Negev, 84101 Beer-Sheva, Israel

Received: 27 May 1991  Accepted: 25 October 1991  

Summary  Intraamniotic infection is considered a major etiologic factor of preterm birth. Positive amniotic fluid cultures are rarely contaminated with Candida species. The presence of this microorganism is associated with a poor pregnancy outcome. Out of 773 transabdominal amniocenteses performed in women presenting with preterm labor and intact membranes, 77 patients (9.9%) had positive amniotic fluid cultures and in 5 women (6.5%) Candida species were identified. On the other hand, 625 amniocenteses were performed in women with preterm premature rupture of membranes and 178 (28%) had positive cultures. Only in 4 patients was Candida isolated (2.2%) (P=0.13 Fisher’s exact test). The importance of early and accurate diagnosis of intraamniotic infection with Candida is pointed out. A transabdominal amniocentesis for microbiological examination is suggested for every woman presenting with preterm labor or preterm premature rupture of membranes and especially for those who conceived with a retained IUD or cervical cerclage.

Key words  Intraamniotic infection - Preterm labor - Candida species - Premature rupture of membranes


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Referenced by
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  1. Reilly, S. D. (2008) Chorioamnionitis and Funisitis: Their Implications for the Neonate. NeoReviews 9(9)
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  2. Meizoso, T. (2008) Intrauterine candidiasis: report of four cases. Archives of Gynecology and Obstetrics
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  4. Chaim, W. (1993) Late miscarriage and intraamniotic candidiasis in a woman with a retained intrauterine contraceptive device. Archives of Gynecology and Obstetrics 253(3)
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  6. Coppolillo, Enrique F. (2000) Diagnostic Value of the Papanicolaou Smear in Lower Genital Tract Infections During Pregnancy. Journal of Lower Genital Tract Disease 4(4)
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  7. Krallis, Nikolaos (2006) Congenital Candidiasis Caused by Different Candida Species in a Dizygotic Pregnancy. The Pediatric Infectious Disease Journal 25(10)
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