Vulvovaginal Candidiasis - Fungal Infection Flashcards
1
Q
What are the signs/Sx of uncomplicated vulvovaginal candidiasis (VVC)?
A
- Healthy, non-pregnant women
- Likely to C. albicans
- Sporadic or infrequent
- Mild-moderate infection
2
Q
What are the signs/Sx of complicated vulvovaginal candidiasis?
A
- Recurrent
- Severe infections
- Abnormal host
3
Q
What are examples of abnormal host?
A
- Immunocompromised
- Uncontrolled DM
4
Q
Explain recurrence in complicated vulvovaginal candidiasis
A
Occurs 4 or more episodes within 1 year, usually caused by azole-susceptible C. albicans
5
Q
How is uncomplicated VVC treated?
A
- Topical intravaginal azole applied x 1-3 days OR
- Fluconazole 150 mg PO x 1 day
6
Q
How is complicated VVC treated?
A
- Topical intravaginal azole applied x 7 days OR
- Fluconazole 150 mg PO q72h
7
Q
How is a pregnant women with VVC treated?
A
- Topical intravaginal azole applied x 7 days
* AVOID systemic azoles; category C*
8
Q
How should recurrent VVC be treated?
A
- Induction of topical or fluconazole 150 mg x 10-14 days THEN
- Suppress fluconazole 150 mg q week x at least 6 months
