Evaluation of the Therapeutic Effect of 15 ppm Silver Nanoparticle Spray Compared to Clotrimazole 1% on Candida Vaginitis: A Randomized Controlled Clinical Trial

Objective: In vitro and in vivo researches have shown that silver nanoparticles have more antimicrobial properties with a lower concentration than antifungal agents against candida vaginitis. Therefore, this study evaluated the therapeutic effect of silver nanoparticles (Nivasha spray15ppm) compare...

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Main Authors: Maryam Aghaei, Maryam Kianpour, Farahnaz Mardanian, Farnoosh Farahbod, Fariba Fahami, Mehdi Ghahremantermeh
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2023-12-01
Series:Journal of Family and Reproductive Health
Subjects:
Online Access:https://jfrh.tums.ac.ir/index.php/jfrh/article/view/2507
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author Maryam Aghaei
Maryam Kianpour
Farahnaz Mardanian
Farnoosh Farahbod
Fariba Fahami
Mehdi Ghahremantermeh
author_facet Maryam Aghaei
Maryam Kianpour
Farahnaz Mardanian
Farnoosh Farahbod
Fariba Fahami
Mehdi Ghahremantermeh
author_sort Maryam Aghaei
collection DOAJ
description Objective: In vitro and in vivo researches have shown that silver nanoparticles have more antimicrobial properties with a lower concentration than antifungal agents against candida vaginitis. Therefore, this study evaluated the therapeutic effect of silver nanoparticles (Nivasha spray15ppm) compared to clotrimazole 1% vaginal cream on candida vaginitis. Materials and methods: In this clinical trial study, 110 women with confirmed candida vaginitis randomly were divided into test (n=58) and control (n=52) groups. Silver nanoparticles spray with an applicator (Nivasha 15 ppm), and clotrimazole 1% were administered to test and control groups, respectively. Then, within ten days, post-intervention checkup and patient self-reported for treatment results were recorded in checklists and the data were analyzed statistically. Results: The improvement rate in test group (98.0%) was 1.44 times higher than in control (67.9%). Moreover, disease symptoms after the intervention (including unusual secretions, itching and burning, redness) in test group were significantly less than in the control, but there was no significant difference in the ratio of edema in two groups) p=0.071(. Furthermore, the average recovery time (days) of all symptoms in test group was lower than control (p<0.05). Finally, the rate of patients' satisfaction with the treatment process in the test group (76.9%) was more than control (46.6%) (p=0.004). Conclusion: Nivasha spray had more effectiveness compared to the clotrimazole 1%. Therefore, it can be used as an alternative drug in the treatment of Candida vaginitis.
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spelling doaj.art-57e92fa1b5894cde909c5ae3d826b6a12024-01-10T06:12:14ZengTehran University of Medical SciencesJournal of Family and Reproductive Health1735-89491735-93922023-12-0117410.18502/jfrh.v17i4.14598Evaluation of the Therapeutic Effect of 15 ppm Silver Nanoparticle Spray Compared to Clotrimazole 1% on Candida Vaginitis: A Randomized Controlled Clinical TrialMaryam Aghaei0Maryam Kianpour1Farahnaz Mardanian2Farnoosh Farahbod3Fariba Fahami4Mehdi Ghahremantermeh5Skin Diseases and Leishmaniasis Research Center, Isfahan University of Medical Sciences, Isfahan, IranNursing and Midwifery Care Research Center, Reproductive Sciences and Sexual Health Research Center, Isfahan University of Medical Sciences,Isfahan,IranReproductive Sciences and Sexual Health Research Center, Isfahan University of Medical Sciences, Isfahan, IranDepartment of Obstetrics and Gynecology, Medicine School, Isfahan University of Medical Sciences, Isfahan, IranNursing and Midwifery Care Research Center, Reproductive Sciences and Sexual Health Research Center, Isfahan University of Medical Sciences, Isfahan, IranSkin Diseases and Leishmaniasis Research Center, Isfahan University of Medical Sciences, Isfahan, Iran Objective: In vitro and in vivo researches have shown that silver nanoparticles have more antimicrobial properties with a lower concentration than antifungal agents against candida vaginitis. Therefore, this study evaluated the therapeutic effect of silver nanoparticles (Nivasha spray15ppm) compared to clotrimazole 1% vaginal cream on candida vaginitis. Materials and methods: In this clinical trial study, 110 women with confirmed candida vaginitis randomly were divided into test (n=58) and control (n=52) groups. Silver nanoparticles spray with an applicator (Nivasha 15 ppm), and clotrimazole 1% were administered to test and control groups, respectively. Then, within ten days, post-intervention checkup and patient self-reported for treatment results were recorded in checklists and the data were analyzed statistically. Results: The improvement rate in test group (98.0%) was 1.44 times higher than in control (67.9%). Moreover, disease symptoms after the intervention (including unusual secretions, itching and burning, redness) in test group were significantly less than in the control, but there was no significant difference in the ratio of edema in two groups) p=0.071(. Furthermore, the average recovery time (days) of all symptoms in test group was lower than control (p<0.05). Finally, the rate of patients' satisfaction with the treatment process in the test group (76.9%) was more than control (46.6%) (p=0.004). Conclusion: Nivasha spray had more effectiveness compared to the clotrimazole 1%. Therefore, it can be used as an alternative drug in the treatment of Candida vaginitis. https://jfrh.tums.ac.ir/index.php/jfrh/article/view/2507Silver NanoparticlesCandidaVaginitisClotrimazoleIn vitroIn vivo
spellingShingle Maryam Aghaei
Maryam Kianpour
Farahnaz Mardanian
Farnoosh Farahbod
Fariba Fahami
Mehdi Ghahremantermeh
Evaluation of the Therapeutic Effect of 15 ppm Silver Nanoparticle Spray Compared to Clotrimazole 1% on Candida Vaginitis: A Randomized Controlled Clinical Trial
Journal of Family and Reproductive Health
Silver Nanoparticles
Candida
Vaginitis
Clotrimazole
In vitro
In vivo
title Evaluation of the Therapeutic Effect of 15 ppm Silver Nanoparticle Spray Compared to Clotrimazole 1% on Candida Vaginitis: A Randomized Controlled Clinical Trial
title_full Evaluation of the Therapeutic Effect of 15 ppm Silver Nanoparticle Spray Compared to Clotrimazole 1% on Candida Vaginitis: A Randomized Controlled Clinical Trial
title_fullStr Evaluation of the Therapeutic Effect of 15 ppm Silver Nanoparticle Spray Compared to Clotrimazole 1% on Candida Vaginitis: A Randomized Controlled Clinical Trial
title_full_unstemmed Evaluation of the Therapeutic Effect of 15 ppm Silver Nanoparticle Spray Compared to Clotrimazole 1% on Candida Vaginitis: A Randomized Controlled Clinical Trial
title_short Evaluation of the Therapeutic Effect of 15 ppm Silver Nanoparticle Spray Compared to Clotrimazole 1% on Candida Vaginitis: A Randomized Controlled Clinical Trial
title_sort evaluation of the therapeutic effect of 15 ppm silver nanoparticle spray compared to clotrimazole 1 on candida vaginitis a randomized controlled clinical trial
topic Silver Nanoparticles
Candida
Vaginitis
Clotrimazole
In vitro
In vivo
url https://jfrh.tums.ac.ir/index.php/jfrh/article/view/2507
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