Non STI infections

Question 1

List of non STI infections

Answer 1

Candida
Bacterial Vaginosis

Question 2

What is vulvovaginal candidiasis caused by (VCC)

Answer 2

Candida albicans 90% of the time

Question 3

Symptoms of VCC

Answer 3

Vulval pruritis and burning
Non-offensive smelling discharge
External dysuria and superficial dyspareunia
Erythematous rash
Cyclical sometimes

Question 4

Signs of VCC

Answer 4

Erythema
Fissuring
Curdy white discharge
Oedema of vulva
Satellite lesions
Non offensive smell

Question 5

Diagnosis of VCC

Answer 5

Based on clinical signs and symptoms, testing for other causes before starting empiricle treatment.
Routine microscopy to identify candida spores, pseudohyphae and neutrophils

Question 6

What classes as recurrent VCC

Answer 6

At least 4 episodes per 12 months with 2 episodes confirmed on microscopy or culture when symptomatic

Question 7

Treatment of asymptomatic patients in VCC

Answer 7

No treatment

Question 8

Treatment of symptomatic patients in VCC

Answer 8

Oral azoles - fluconazole capsule 150mg single dose by mouth. Econazole, itraconazole, miconazole, fenticonazole

Question 9

Topical regimen for symptomatic patients for VCC

Answer 9

Clotrimazole pessary 500mg dose PV. Or other vaginal creams

Question 10

Two less common causes of VCC

Answer 10

Candida glabrata and candida krusei

Question 11

Where are swabs taken from in candida or BV

Answer 11

High vaginal swab, from discharge or vaginal wall

Question 12

Symptoms of BV

Answer 12

Fishy smelling discharge, no associated itching, irritation or swelling

Question 13

Signs of BV

Answer 13

White/grey discharge coating vaginal walls with or without odour
No associated inflammation