Vulvovaginal candidiasis Flashcards
Incidence in women
75% of women experience vaginal candidiasis in their life times
Which organisms causing infection in vulvovaginal candidiasis?
Candida Albicans ( a fungi)
Which demographic is most commonly affected?
Most common in child bearing age not prepubescent/postmenopausal due to highest level of oestrogen
Risk factors which increase likelihood of colonisation (5)
- Increased susceptibility
- Vaginal Douching
- HIV
- Pregnancy
- Broadspectrum Antibiotics
- Pregnancy
Which pre existing conditions increase the risk of infection?
- Diabetes Mellitus
2. Eczema
What does the Vulva look like in infection?
Red, itchy and sore
Describe the discharge
- White
- ‘curdy’ like cottage cheese
- Non offensive ‘yeasty’ smell
Change in PH of vagina?
4.5 - 7
How is Vulvovagal candidiasis diagnosed?
Microscopy and culture of vaginal fluid
Management of Vulvovaginal candidiasis
- Topical clotrimazole pessary
2. Oral - Fluconozole
Which treatment is contraindicated in pregnancy?
Oral fluconozole