Candidiasis Flashcards
What is vaginal candiadasis
Thrush
Vaginal infection with yeast of candida family
Most common cause of candidiasis
Candida albicans
Most common cause of candidiasis
Candida albicans
When can candida occur
Can colonise vagina asymtpomatically
Progresses to infection in right environment eg pregnancy, treatment with wide specturm antibiotics that alter vaginal flora
Risk factors for candiadiasis
Increased oestrogen - higher in pregnancy, lower pre-puberty and post menopause
oorly controlled diabetes
Immunosupression (corticosteroids)
Broad spectrum antibiotics
Presentation of vaginal candidiasis
Thick, white discharge that doesnt typically smell
Vulval and vaginal ithcing, irritation or discomfort
What can more severe infection present as
Erythema
Fissures
oedema
dyspareunia
dysuria
Excoriation
How differentiate between vaginal candiadiasis and BV + trichomonas
Thursh pH < 4.5
BV + trichonomas pH >4.5
What confirms diagnosis of thrush
Charcoal swab with microscopy can confirm
How can antifungals be delivered
Antifungal cream - clotrimazole - w applicator
Pessary - clotrimazole
Oral antifungal tablets - fluconazole
How can antifungals be delivered
Antifungal cream - clotrimazole - w applicator
Pessary - clotrimazole
Oral antifungal tablets - fluconazole
What is recommended antifungals for initial uncomplicated cases or options of
Single dose of intravaginal clotrimazole cream (5g 10% at night)
Single dose of 500mg clotrimazole pessary at nigth
Three doses clotrimazole pessaries (200mg) over 3 nights
Single dose fluconazole (150mg)
What is canesten duo
OTC treatment - single fluconazole tablet and clotrimazole cream use externally for vulval symptoms
What counts as a recurrent thrush infection
> 4 in a year
How are recurrent infections treated
maintenance regime over 6 months
Oral fluconazole weekly 150mg
Itricanazole daily 50-100mg
Weekly clotrimazole pessaries 500mg
