Infection - Candidiasis Flashcards
What is Candidiasis and what causes it?
Vaginal yeast infection - candida albicans
Candida can colonise without causing symptoms, a change in enviroment e.g. pregnanct / abx treatment can progress the fungys
What can make the colonised candida in the vaginal tract grow into symptomatic thrush?
Pregnancy
ABX use
Risk factors for Candidias?
Increased oestrogen (pregnancy)
Poorly controlled diabetes
Immunosuppression
Broad spec abx
Candidiasis presentation?
itching
‘cottage cheese’ lumpy white dishcarge
sour milk odour
dysuria
superficial dyspareunia - vulvitis
what lesion may be seen?
Satellite lesions
can be a clinical diagnosis do not need high vaginal swab
but to confirm ?
Charcoal high swab
Microscopy will show fungus hyphe, neutrophils, spores
How to differentiate between BV, candidiasis and trichomonas?
both tri + BV are pH 4.5 + (alkaline)
Candidias is <4.5 = normal pH
Over the counter treatments?
Clotrimazole pessary 500mg
or as a cream 5mg
What oral treatments can be given for candidias?
Fluconzaole 150mg PO stat 1 dose
*pregnant women cannot use oral only local treatments
How to manage someone who has recurrent candidiasis?
recurrent = 4x a year
exclude diabetes as a cause
Induction - maintenance regime
- induction : oral fluconazole every 3 days for 3 doses
- maintenance : oral fluconazole weekly for 6 months
Which is preferred the pessary of fluconzaole?
If a dr is giving it oral fluconazole is preferred
if any contraindications then clotrimazole pessary
