Evidence map›Paper›PMID 41839452›Full record

ReviewClinical infectious diseases : an official publication of the Infectious Diseases Society of America2026

State-of-the-Art Review: Managing Vulvovaginal Candidiasis.

Riina Rautemaa-Richardson, Jack D Sobel, Neil Stone, Francesco De Seta, Antonio Cassone, Pedro Vieira-Baptista, Manola Comar, Adilia Warris, Elena Roselletti

Abstract readReview
In one paragraph

Review in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Review
  5. The Gut-Vagina Axis.Microorganisms · 2026
    Review
  6. Non-Frontiers in microbiology · 2026
    Review
  7. Evaluation ofFrontiers in microbiology · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Riina Rautemaa-RichardsonMycology Reference Centre Manchester and Department of Infectious Diseases, ECMM Centre of Excellence, Manchester Academic Health Science Centre, Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester, United Kingdom.ORCID 0000-0002-1071-6040
Jack D SobelDepartment of Internal Medicine, Wayne State University School of Medicine, Detroit, Michigan, USA.ORCID 0000-0002-5589-4609
Neil StoneHospital for Tropical Diseases/University College London Hospitals Infection Division, London, United Kingdom.ORCID 0000-0002-6887-7947
Francesco De SetaDepartment of Obstetrics and Gynaecology, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Antonio CassonePolo d'Innovazione della Genomica, Genetica e Biologia, Siena, Italy.ORCID 0000-0002-0434-0761
Pedro Vieira-BaptistaFaculty of Medicine, Department of Gynecology-Obstetrics and Pediatrics, Universidade do Porto, Porto, Portugal.
Manola ComarAdvanced Translational Microbiology, Institute for Maternal and Child Health-IRCCS Burlo Garofolo, Trieste, Italy.
Adilia WarrisDepartment of Biosciences, Faculty of Health and Life Sciences, Medical Research Council Centre for Medical Mycology at the University of Exeter, Exeter, United Kingdom.ORCID 0000-0001-6586-3358
Elena RosellettiDepartment of Biosciences, Faculty of Health and Life Sciences, Medical Research Council Centre for Medical Mycology at the University of Exeter, Exeter, United Kingdom.ORCID 0000-0003-3929-7502

Funding

Department of Health and Social CareMRC Centre for Medical MycologyNIHR Exeter Biomedical Research Centre NIHR203320University of Exeter MR/N006364/2University of Exeter MR/V033417/1
6 · The paper itself

Abstract

Vulvovaginal candidiasis is one of the most prevalent infections in women worldwide. Together with its recurrent form, it affects millions of women annually, causing significant symptoms and severely impacting quality of life. This review examines the pathophysiology, risk factors, microbiome interactions, clinical manifestations, and challenges in diagnosing and managing vulvovaginal candidiasis, with emphasis on recurrent vulvovaginal candidiasis. While Candida albicans is the primary cause, non-albicans species are increasingly common. Multiple factors contribute to both forms, including hormonal changes, diabetes, antibiotic use, immune dysfunction, and genetics. The vaginal microbiome plays a key role in maintaining homeostasis and preventing Candida overgrowth. Symptoms such as itching, discharge, and soreness overlap with other conditions, complicating the diagnosis. Standard treatment involves topical or systemic antifungals, but recurrence and resistance are frequent. Emerging strategies include novel antifungals, immunomodulators, and vaccines. Future approaches should focus on modulating host and environmental factors to prevent recurrence, reduce resistance, and improve outcomes.

Indexed as

Antifungal AgentsCandidiasis, VulvovaginalDrug Resistance, FungalFemaleHumansMicrobiotaRecurrenceRisk FactorsVaginaAntifungal Agentsantifungal and emerging therapiesCandidarecurrencesvaginal microbiomevulvovaginal candidiasis

Identifiers

PMID41839452
PMCPMC13017020

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.