Consensus on Management of Dermatophytosis and Vulvovaginal Infections in Non- Pregnant and Pregnant Females

Sanjiv Kandhari; Piyush Prabhat; Madhu Rengarajan; Sunil Dogra; Chitra Nayak; Dibyendu Banerjee; Jayashree Sridhar; Mukesh Patil; Neena Singh; Pondicherry Gopinath; Ratna Talukdar; Vishalakshi Viswanath

doi:doi:10.11648/j.jgo.20200806.18

| Peer-Reviewed |

Consensus on Management of Dermatophytosis and Vulvovaginal Infections in Non- Pregnant and Pregnant Females

Sanjiv Kandhari, Piyush Prabhat, Madhu Rengarajan, Sunil Dogra, Chitra Nayak, Dibyendu Banerjee, Jayashree Sridhar, Mukesh Patil, Neena Singh, Pondicherry Gopinath, Ratna Talukdar, Vishalakshi Viswanath

Received: 11 November 2020 Accepted: 25 November 2020 Published: 16 December 2020

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Abstract

There has been an increasing prevalence of dermatophytosis among the females in India, over the last 5-6 years. Similarly an increase in the occurrence of vulvovaginal infections has also been observed. The recommendations from existing guidelines do not focus on these infections in females and provide optimal outcomes in real world setting. Hence, the aim of the present consensus was to formulate recommendations based on current clinical experience to address these infections. A multispecialty panel of 12 members consisting of 7 gynecologists and 5 dermatologists participated in the pursuit of obtaining consensus by modified Delphi process. All the panelists formulated questionnaire after critical review of literature. Four rounds of questionnaires containing a total of 63 questions were floated through Google docs survey and responses were marked by all the panelists. Agreement for a given question/statement as ≥75% was set to achieve consensus. Out of the 63 questions/statements, consensus was obtained on diagnosis and treatment of dermatophytosis and VVI in non-pregnant and pregnant females, in 61 statements. The panel also formulated treatment algorithm for dermatophytosis and VVI. The present consensus will provide a guidance to the clinicians in India regarding management of dermatophytosis and VVI in pregnant and non-pregnant females in the current scenario of therapeutic challenges in both the infections.

DOI	10.11648/j.jgo.20200806.18
Published in	Journal of Gynecology and Obstetrics (Volume 8, Issue 6, November 2020)
Page(s)	195-210
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Dermatophytosis, Vulvovaginal Infections, Consensus, Pregnancy, Non-pregnant Females

References

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APA Style

Sanjiv Kandhari, Piyush Prabhat, Madhu Rengarajan, Sunil Dogra, Chitra Nayak, et al. (2020). Consensus on Management of Dermatophytosis and Vulvovaginal Infections in Non- Pregnant and Pregnant Females. Journal of Gynecology and Obstetrics, 8(6), 195-210. https://doi.org/10.11648/j.jgo.20200806.18

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ACS Style

Sanjiv Kandhari; Piyush Prabhat; Madhu Rengarajan; Sunil Dogra; Chitra Nayak, et al. Consensus on Management of Dermatophytosis and Vulvovaginal Infections in Non- Pregnant and Pregnant Females. J. Gynecol. Obstet. 2020, 8(6), 195-210. doi: 10.11648/j.jgo.20200806.18

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AMA Style

Sanjiv Kandhari, Piyush Prabhat, Madhu Rengarajan, Sunil Dogra, Chitra Nayak, et al. Consensus on Management of Dermatophytosis and Vulvovaginal Infections in Non- Pregnant and Pregnant Females. J Gynecol Obstet. 2020;8(6):195-210. doi: 10.11648/j.jgo.20200806.18

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@article{10.11648/j.jgo.20200806.18,
  author = {Sanjiv Kandhari and Piyush Prabhat and Madhu Rengarajan and Sunil Dogra and Chitra Nayak and Dibyendu Banerjee and Jayashree Sridhar and Mukesh Patil and Neena Singh and Pondicherry Gopinath and Ratna Talukdar and Vishalakshi Viswanath},
  title = {Consensus on Management of Dermatophytosis and Vulvovaginal Infections in Non- Pregnant and Pregnant Females},
  journal = {Journal of Gynecology and Obstetrics},
  volume = {8},
  number = {6},
  pages = {195-210},
  doi = {10.11648/j.jgo.20200806.18},
  url = {https://doi.org/10.11648/j.jgo.20200806.18},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20200806.18},
  abstract = {There has been an increasing prevalence of dermatophytosis among the females in India, over the last 5-6 years. Similarly an increase in the occurrence of vulvovaginal infections has also been observed. The recommendations from existing guidelines do not focus on these infections in females and provide optimal outcomes in real world setting. Hence, the aim of the present consensus was to formulate recommendations based on current clinical experience to address these infections. A multispecialty panel of 12 members consisting of 7 gynecologists and 5 dermatologists participated in the pursuit of obtaining consensus by modified Delphi process. All the panelists formulated questionnaire after critical review of literature. Four rounds of questionnaires containing a total of 63 questions were floated through Google docs survey and responses were marked by all the panelists. Agreement for a given question/statement as ≥75% was set to achieve consensus. Out of the 63 questions/statements, consensus was obtained on diagnosis and treatment of dermatophytosis and VVI in non-pregnant and pregnant females, in 61 statements. The panel also formulated treatment algorithm for dermatophytosis and VVI. The present consensus will provide a guidance to the clinicians in India regarding management of dermatophytosis and VVI in pregnant and non-pregnant females in the current scenario of therapeutic challenges in both the infections.},
 year = {2020}
}

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TY  - JOUR
T1  - Consensus on Management of Dermatophytosis and Vulvovaginal Infections in Non- Pregnant and Pregnant Females
AU  - Sanjiv Kandhari
AU  - Piyush Prabhat
AU  - Madhu Rengarajan
AU  - Sunil Dogra
AU  - Chitra Nayak
AU  - Dibyendu Banerjee
AU  - Jayashree Sridhar
AU  - Mukesh Patil
AU  - Neena Singh
AU  - Pondicherry Gopinath
AU  - Ratna Talukdar
AU  - Vishalakshi Viswanath
Y1  - 2020/12/16
PY  - 2020
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DO  - 10.11648/j.jgo.20200806.18
T2  - Journal of Gynecology and Obstetrics
JF  - Journal of Gynecology and Obstetrics
JO  - Journal of Gynecology and Obstetrics
SP  - 195
EP  - 210
PB  - Science Publishing Group
SN  - 2376-7820
UR  - https://doi.org/10.11648/j.jgo.20200806.18
AB  - There has been an increasing prevalence of dermatophytosis among the females in India, over the last 5-6 years. Similarly an increase in the occurrence of vulvovaginal infections has also been observed. The recommendations from existing guidelines do not focus on these infections in females and provide optimal outcomes in real world setting. Hence, the aim of the present consensus was to formulate recommendations based on current clinical experience to address these infections. A multispecialty panel of 12 members consisting of 7 gynecologists and 5 dermatologists participated in the pursuit of obtaining consensus by modified Delphi process. All the panelists formulated questionnaire after critical review of literature. Four rounds of questionnaires containing a total of 63 questions were floated through Google docs survey and responses were marked by all the panelists. Agreement for a given question/statement as ≥75% was set to achieve consensus. Out of the 63 questions/statements, consensus was obtained on diagnosis and treatment of dermatophytosis and VVI in non-pregnant and pregnant females, in 61 statements. The panel also formulated treatment algorithm for dermatophytosis and VVI. The present consensus will provide a guidance to the clinicians in India regarding management of dermatophytosis and VVI in pregnant and non-pregnant females in the current scenario of therapeutic challenges in both the infections.
VL  - 8
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Author Information

Sanjiv Kandhari

Dr. Kandhari’s Skin and Dental Clinic, New Delhi, India
Piyush Prabhat

Jeevak Hospital, Mumbai, India
Madhu Rengarajan

Department of Dermatology, Venereology and Leprosy, Madras Medical College, Chennai, India
Sunil Dogra

Department of Dermatology, Venereology & Leprology, Postgraduate Institute of Medical Education & Research (PGIMER), Chandigarh, India
Chitra Nayak

Department of Dermatology, Topiwala National Medical College & BYL Nair Hospital, Mumbai, India
Dibyendu Banerjee

Department of Obstetrics & Gynecology, Charnock Hospital, Kolkata, India
Jayashree Sridhar

KRG’s Blessed Mom Clinic, Indore, India
Mukesh Patil

Dr. Mukesh Patil’s Center for Women’s Health, Vasai-Virar, India
Neena Singh

Fortis La Femme Hospital, New Delhi, India
Pondicherry Gopinath

Department of OBGY and IVF, SRM Institute of Medical Sciences, Chennai, India
Ratna Talukdar

Department of Obstetrics & Gynecology, Gauhati Medical College, Guwahati, India
Vishalakshi Viswanath

Department of Dermatology, Rajiv Gandhi Medical College & CSMH, Thane, India

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APA Style

Sanjiv Kandhari, Piyush Prabhat, Madhu Rengarajan, Sunil Dogra, Chitra Nayak, et al. (2020). Consensus on Management of Dermatophytosis and Vulvovaginal Infections in Non- Pregnant and Pregnant Females. Journal of Gynecology and Obstetrics, 8(6), 195-210. https://doi.org/10.11648/j.jgo.20200806.18

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ACS Style

Sanjiv Kandhari; Piyush Prabhat; Madhu Rengarajan; Sunil Dogra; Chitra Nayak, et al. Consensus on Management of Dermatophytosis and Vulvovaginal Infections in Non- Pregnant and Pregnant Females. J. Gynecol. Obstet. 2020, 8(6), 195-210. doi: 10.11648/j.jgo.20200806.18

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AMA Style

Sanjiv Kandhari, Piyush Prabhat, Madhu Rengarajan, Sunil Dogra, Chitra Nayak, et al. Consensus on Management of Dermatophytosis and Vulvovaginal Infections in Non- Pregnant and Pregnant Females. J Gynecol Obstet. 2020;8(6):195-210. doi: 10.11648/j.jgo.20200806.18

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@article{10.11648/j.jgo.20200806.18,
  author = {Sanjiv Kandhari and Piyush Prabhat and Madhu Rengarajan and Sunil Dogra and Chitra Nayak and Dibyendu Banerjee and Jayashree Sridhar and Mukesh Patil and Neena Singh and Pondicherry Gopinath and Ratna Talukdar and Vishalakshi Viswanath},
  title = {Consensus on Management of Dermatophytosis and Vulvovaginal Infections in Non- Pregnant and Pregnant Females},
  journal = {Journal of Gynecology and Obstetrics},
  volume = {8},
  number = {6},
  pages = {195-210},
  doi = {10.11648/j.jgo.20200806.18},
  url = {https://doi.org/10.11648/j.jgo.20200806.18},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20200806.18},
  abstract = {There has been an increasing prevalence of dermatophytosis among the females in India, over the last 5-6 years. Similarly an increase in the occurrence of vulvovaginal infections has also been observed. The recommendations from existing guidelines do not focus on these infections in females and provide optimal outcomes in real world setting. Hence, the aim of the present consensus was to formulate recommendations based on current clinical experience to address these infections. A multispecialty panel of 12 members consisting of 7 gynecologists and 5 dermatologists participated in the pursuit of obtaining consensus by modified Delphi process. All the panelists formulated questionnaire after critical review of literature. Four rounds of questionnaires containing a total of 63 questions were floated through Google docs survey and responses were marked by all the panelists. Agreement for a given question/statement as ≥75% was set to achieve consensus. Out of the 63 questions/statements, consensus was obtained on diagnosis and treatment of dermatophytosis and VVI in non-pregnant and pregnant females, in 61 statements. The panel also formulated treatment algorithm for dermatophytosis and VVI. The present consensus will provide a guidance to the clinicians in India regarding management of dermatophytosis and VVI in pregnant and non-pregnant females in the current scenario of therapeutic challenges in both the infections.},
 year = {2020}
}

Copy | Download

TY  - JOUR
T1  - Consensus on Management of Dermatophytosis and Vulvovaginal Infections in Non- Pregnant and Pregnant Females
AU  - Sanjiv Kandhari
AU  - Piyush Prabhat
AU  - Madhu Rengarajan
AU  - Sunil Dogra
AU  - Chitra Nayak
AU  - Dibyendu Banerjee
AU  - Jayashree Sridhar
AU  - Mukesh Patil
AU  - Neena Singh
AU  - Pondicherry Gopinath
AU  - Ratna Talukdar
AU  - Vishalakshi Viswanath
Y1  - 2020/12/16
PY  - 2020
N1  - https://doi.org/10.11648/j.jgo.20200806.18
DO  - 10.11648/j.jgo.20200806.18
T2  - Journal of Gynecology and Obstetrics
JF  - Journal of Gynecology and Obstetrics
JO  - Journal of Gynecology and Obstetrics
SP  - 195
EP  - 210
PB  - Science Publishing Group
SN  - 2376-7820
UR  - https://doi.org/10.11648/j.jgo.20200806.18
AB  - There has been an increasing prevalence of dermatophytosis among the females in India, over the last 5-6 years. Similarly an increase in the occurrence of vulvovaginal infections has also been observed. The recommendations from existing guidelines do not focus on these infections in females and provide optimal outcomes in real world setting. Hence, the aim of the present consensus was to formulate recommendations based on current clinical experience to address these infections. A multispecialty panel of 12 members consisting of 7 gynecologists and 5 dermatologists participated in the pursuit of obtaining consensus by modified Delphi process. All the panelists formulated questionnaire after critical review of literature. Four rounds of questionnaires containing a total of 63 questions were floated through Google docs survey and responses were marked by all the panelists. Agreement for a given question/statement as ≥75% was set to achieve consensus. Out of the 63 questions/statements, consensus was obtained on diagnosis and treatment of dermatophytosis and VVI in non-pregnant and pregnant females, in 61 statements. The panel also formulated treatment algorithm for dermatophytosis and VVI. The present consensus will provide a guidance to the clinicians in India regarding management of dermatophytosis and VVI in pregnant and non-pregnant females in the current scenario of therapeutic challenges in both the infections.
VL  - 8
IS  - 6
ER  -

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