B. Mathema et al., Prevalence of vaginal colonization by drug-resistant Candida species in college-age women with previous exposure to over-the-counter azole antifungals, CLIN INF D, 33(5), 2001, pp. E23-E27
We enrolled 382 college-age women in a cross-sectional survey to investigat
e the relationship between use of over-the-counter (OTC) azole-based antifu
ngal drugs and vaginal colonization by drug-resistant Candida. This study s
howed no correlation (P = .506) between previous OTC exposure and colonizat
ion of drug-resistant Candida in vaginal flora. However, a small number of
resistant Candida species isolates were obtained from women with a history
of multiple exposures to OTC antifungals; given the widespread use of these
products, this may be an emerging concern.