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This study determined the prevalence of\n                      <jats:italic>candida<\/jats:italic>\n                      species in symptomatic pregnant women and evaluated the antifungal susceptibility profile of the isolated\n                      <jats:italic>Candida<\/jats:italic>\n                      strains. It also aimed to explore whether\n                      <jats:italic>Candida<\/jats:italic>\n                      species predicts gestational complications and adverse neonatal outcomes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A total of 258 pregnant women with vaginal discharge at 35 to 37\u2009week of gestation participated in this study. Vaginal swabs from these patients were collected at various obstetrics and gynecology clinics in Lebanon for a period of 14\u2009months.\n                      <jats:italic>Candida<\/jats:italic>\n                      isolates were identified at species level and antifungal susceptibility of\n                      <jats:italic>Candida albicans<\/jats:italic>\n                      to fluconazole (FCZ), amphotericin B (AMB), itraconazole (ICZ) and voriconazole (VCZ) was determined by the agar-based E-test method.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 258 women tested, 100 (39%) were positive for\n                      <jats:italic>Candida<\/jats:italic>\n                      species.\n                      <jats:italic>C. albicans, C. glabrata<\/jats:italic>\n                      and\n                      <jats:italic>C. krusei<\/jats:italic>\n                      were isolated from 42, 41 and 17% of the women, respectively.\n                      <jats:italic>C. albicans<\/jats:italic>\n                      was significantly associated only with gestational diabetes while\n                      <jats:italic>C. krusei<\/jats:italic>\n                      or\n                      <jats:italic>C. glabrata<\/jats:italic>\n                      had significant positive associations with other gestational complications. The antifungal susceptibility tests of\n                      <jats:italic>C. albicans<\/jats:italic>\n                      isolates revealed 97.5, 90, 87.5 and 97.5% susceptibility to AMB, FCZ, ICZ and VCZ, respectively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      The current study revealed high incidence of both\n                      <jats:italic>C. albicans<\/jats:italic>\n                      and non-\n                      <jats:italic>C. albicans Candida<\/jats:italic>\n                      strains causing vulvovaginitis among pregnant women in Beirut, Lebanon.\n                      <jats:italic>Candida<\/jats:italic>\n                      screening as antenatal follow up is advised to minimize the risk of adverse neonatal outcome or gestational complications.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12879-019-4736-2","type":"journal-article","created":{"date-parts":[[2020,1,13]],"date-time":"2020-01-13T08:02:48Z","timestamp":1578902568000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":67,"title":["Prevalence and antifungal susceptibility of Candida albicans causing vaginal discharge among pregnant women in Lebanon"],"prefix":"10.1186","volume":"20","author":[{"given":"Nahed","family":"Ghaddar","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elie","family":"Anastasiadis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rawad","family":"Halimeh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali","family":"Ghaddar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rita","family":"Dhar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wadha","family":"AlFouzan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hoda","family":"Yusef","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mira","family":"El Chaar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2020,1,13]]},"reference":[{"issue":"6","key":"4736_CR1","doi-asserted-by":"publisher","first-page":"462","DOI":"10.1007\/s11908-015-0462-0","volume":"17","author":"TJ Aguin","year":"2015","unstructured":"Aguin TJ, Sobel JD. 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