We demonstrate the fundamental links existing between two different descriptions of quantum electrodynamics in inhomogeneous, lossy and dispersive dielectric media which are based either on the Huttner-Barnett formalism for polaritons [B. Huttner and S. M. Barnett, Phys.Rev. A 46, 4306 (1992)] or the Langevin noise approach using fluctuating currents [T. D.-G. Welsch, Phys.Rev.A 53, 1818 (1996)]. In this work we demonstrate the practical equivalence of the two descriptions by introducing the concept of effective photon state associated with some specific noise current distribution. We study the impact of these results on the calculation and interpretation of quantum observables such as fluctuations, correlations, and Casimir forces.