Vulvovaginal candidiasis Flashcards

1
Q

Incidence in women

A

75% of women experience vaginal candidiasis in their life times

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2
Q

Which organisms causing infection in vulvovaginal candidiasis?

A

Candida Albicans ( a fungi)

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3
Q

Which demographic is most commonly affected?

A

Most common in child bearing age not prepubescent/postmenopausal due to highest level of oestrogen

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4
Q

Risk factors which increase likelihood of colonisation (5)

A
  1. Increased susceptibility
    - Vaginal Douching
    - HIV
    - Pregnancy
    - Broadspectrum Antibiotics
    - Pregnancy
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5
Q

Which pre existing conditions increase the risk of infection?

A
  1. Diabetes Mellitus

2. Eczema

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6
Q

What does the Vulva look like in infection?

A

Red, itchy and sore

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7
Q

Describe the discharge

A
  1. White
  2. ‘curdy’ like cottage cheese
  3. Non offensive ‘yeasty’ smell
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8
Q

Change in PH of vagina?

A

4.5 - 7

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9
Q

How is Vulvovagal candidiasis diagnosed?

A

Microscopy and culture of vaginal fluid

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10
Q

Management of Vulvovaginal candidiasis

A
  1. Topical clotrimazole pessary

2. Oral - Fluconozole

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11
Q

Which treatment is contraindicated in pregnancy?

A

Oral fluconozole

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