. "I, P(LC531)" . "Vulvovagin\u00E1ln\u00ED kandid\u00F3za je nej\u010Dast\u011Bj\u0161\u00EDm onemocn\u011Bn\u00EDm pochvy, kter\u00E9 postihuje b\u011Bhem \u017Eivota v\u011Bt\u0161inu \u017Een. U p\u0159ev\u00E1\u017En\u00E9 \u010D\u00E1sti z nich prob\u00EDh\u00E1 jako akutn\u00ED z\u00E1n\u011Btliv\u00E1 p\u0159\u00EDhoda, kter\u00E1 je snadno diagnostikovateln\u00E1 i l\u00E9\u010Diteln\u00E1. Naproti tomu u \u010D\u00E1sti vn\u00EDmav\u00E9 populace se projevuje jako opakuj\u00EDc\u00ED se ataky, kde eskaluj\u00ED obt\u00ED\u017Ee a objektivn\u00ED gynekologick\u00FD n\u00E1lez je v\u011Bt\u0161inou velmi chud\u00FD nebo zcela norm\u00E1ln\u00ED. Oby\u010Dejn\u011B se u t\u011Bchto pacientek neda\u0159\u00ED tak\u00E9 odhalit p\u0159\u00ED\u010Dinu nebo vyvol\u00E1vaj\u00EDc\u00ED moment. Vzhledem k t\u011Bmto okolnostem je v \u0159ad\u011B p\u0159\u00EDpad\u016F obt\u00ED\u017En\u00E9 asociovat obt\u00ED\u017Ee s kvasinkou a naopak n\u00E1lez kvasinky nutn\u011B nemus\u00ED potvrzovat houbovou etiologii. Z tohoto d\u016Fvodu je l\u00E9pe pohl\u00ED\u017Eet na toto onemocn\u011Bn\u00ED jako syndrom a chronick\u00E9 probl\u00E9my ozna\u010Dovat jako vulvovagin\u00E1ln\u00ED dyskomfort. To je p\u0159edpokladem nep\u0159edpojat\u00E9ho diagnostick\u00E9ho p\u0159\u00EDstupu a zvy\u0161uje pravd\u011Bpodobnost nalezen\u00ED skute\u010Dn\u00FDch p\u0159\u00ED\u010Din probl\u00E9mu, a tedy i jeho l\u00E9\u010Den\u00ED \u010Di vyl\u00E9\u010Den\u00ED. \u010Cl\u00E1nek poukazuje na kontroverzn\u00ED a problematick\u00E9 aspekty diagn\u00F3zy a l\u00E9\u010Dby vulvovagin\u00E1ln\u00ED kandid\u00F3zy se zam\u011B\u0159en\u00EDm na laboratorn\u00ED diagnostiku, terminologii, epidemiologii a ekologii kvasinek ve vztahu k po\u0161evn\u00ED mikrobiot\u011B a v neposledn\u00ED \u0159ad\u011B na alternativn\u00ED terapeutick\u00E9 p\u0159\u00EDstupy." . "[A38FAFD6179A]" . "Vulvovaginal candidiasis remains one of the most frequently diagnosed inflammatory diseases of the vagina, which affects most sexually active women. In most patients, it is manifested as acute inflammation which is easy to diagnose and treat. However, in the susceptible population, it may be characterized by recurrent episodes, usually with an unknown cause or exacerbating moment. These facts complicate the diagnosis and therapy. This is highlighted by both non-specific symptoms shared with many other vaginal infections and paucity of reliable signs for diagnosis. Under these circumstances, it is difficult to associate vaginal complaints with yeasts and, vice versa, the presence of yeasts does not necessarily confirm fungal aetiology. Therefore, it is better to regard the condition as a syndrome and the chronic problems as vulvovaginal discomfort. It is a prerequisite for an unbiased diagnostic approach, increasing the probability of finding the real cause of the problem and the chances of treating or even curing the disease. The article is concerned with controversial and problematic aspects of diagnosis and treatment of vulvovaginal candidiasis with a focus on laboratory diagnosis, terminology, epidemiology and ecology of yeasts in relation to vaginal microbiota and, last but not least, on alternative therapeutic approaches."@en . . "CZ - \u010Cesk\u00E1 republika" . . . . . . . . . "Klinick\u00E1 mikrobiologie a infek\u010Dn\u00ED l\u00E9ka\u0159stv\u00ED" . . "237440" . "2"^^ . "\u00DAskal\u00ED sou\u010Dasn\u00E9 laboratorn\u00ED diagnostiky a terapie vulvovagin\u00E1ln\u00ED kandid\u00F3zy"@cs . . "RIV/00179906:_____/11:10109247" . "RIV/00179906:_____/11:10109247!RIV12-MZ0-00179906" . "2"^^ . "Pitfalls of the current laboratory diagnosis and treatment of vulvovaginal candidiasis"@en . "1211-264X" . "\u00DAskal\u00ED sou\u010Dasn\u00E9 laboratorn\u00ED diagnostiky a terapie vulvovagin\u00E1ln\u00ED kandid\u00F3zy"@cs . "Buchta, Vladim\u00EDr" . "\u00DAskal\u00ED sou\u010Dasn\u00E9 laboratorn\u00ED diagnostiky a terapie vulvovagin\u00E1ln\u00ED kandid\u00F3zy" . "6"^^ . "alternative therapy; diagnosis; vulvovaginal discomfort; vulvovaginal candidiasis; Candida albicans"@en . "Pitfalls of the current laboratory diagnosis and treatment of vulvovaginal candidiasis"@en . . "\u00DAskal\u00ED sou\u010Dasn\u00E9 laboratorn\u00ED diagnostiky a terapie vulvovagin\u00E1ln\u00ED kandid\u00F3zy" . . . "5" . "17" . . "\u0160pa\u010Dek, Ji\u0159\u00ED" . . "Vulvovagin\u00E1ln\u00ED kandid\u00F3za je nej\u010Dast\u011Bj\u0161\u00EDm onemocn\u011Bn\u00EDm pochvy, kter\u00E9 postihuje b\u011Bhem \u017Eivota v\u011Bt\u0161inu \u017Een. U p\u0159ev\u00E1\u017En\u00E9 \u010D\u00E1sti z nich prob\u00EDh\u00E1 jako akutn\u00ED z\u00E1n\u011Btliv\u00E1 p\u0159\u00EDhoda, kter\u00E1 je snadno diagnostikovateln\u00E1 i l\u00E9\u010Diteln\u00E1. Naproti tomu u \u010D\u00E1sti vn\u00EDmav\u00E9 populace se projevuje jako opakuj\u00EDc\u00ED se ataky, kde eskaluj\u00ED obt\u00ED\u017Ee a objektivn\u00ED gynekologick\u00FD n\u00E1lez je v\u011Bt\u0161inou velmi chud\u00FD nebo zcela norm\u00E1ln\u00ED. Oby\u010Dejn\u011B se u t\u011Bchto pacientek neda\u0159\u00ED tak\u00E9 odhalit p\u0159\u00ED\u010Dinu nebo vyvol\u00E1vaj\u00EDc\u00ED moment. Vzhledem k t\u011Bmto okolnostem je v \u0159ad\u011B p\u0159\u00EDpad\u016F obt\u00ED\u017En\u00E9 asociovat obt\u00ED\u017Ee s kvasinkou a naopak n\u00E1lez kvasinky nutn\u011B nemus\u00ED potvrzovat houbovou etiologii. Z tohoto d\u016Fvodu je l\u00E9pe pohl\u00ED\u017Eet na toto onemocn\u011Bn\u00ED jako syndrom a chronick\u00E9 probl\u00E9my ozna\u010Dovat jako vulvovagin\u00E1ln\u00ED dyskomfort. To je p\u0159edpokladem nep\u0159edpojat\u00E9ho diagnostick\u00E9ho p\u0159\u00EDstupu a zvy\u0161uje pravd\u011Bpodobnost nalezen\u00ED skute\u010Dn\u00FDch p\u0159\u00ED\u010Din probl\u00E9mu, a tedy i jeho l\u00E9\u010Den\u00ED \u010Di vyl\u00E9\u010Den\u00ED. \u010Cl\u00E1nek poukazuje na kontroverzn\u00ED a problematick\u00E9 aspekty diagn\u00F3zy a l\u00E9\u010Dby vulvovagin\u00E1ln\u00ED kandid\u00F3zy se zam\u011B\u0159en\u00EDm na laboratorn\u00ED diagnostiku, terminologii, epidemiologii a ekologii kvasinek ve vztahu k po\u0161evn\u00ED mikrobiot\u011B a v neposledn\u00ED \u0159ad\u011B na alternativn\u00ED terapeutick\u00E9 p\u0159\u00EDstupy."@cs . . . .