Vulvovaginal candidiasis

Question 1

Incidence in women

Answer 1

75% of women experience vaginal candidiasis in their life times

Question 2

Which organisms causing infection in vulvovaginal candidiasis?

Answer 2

Candida Albicans ( a fungi)

Question 3

Which demographic is most commonly affected?

Answer 3

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

Question 4

Risk factors which increase likelihood of colonisation (5)

Answer 4

1. Increased susceptibility
   - Vaginal Douching
   - HIV
   - Pregnancy
   - Broadspectrum Antibiotics
   - Pregnancy

Question 5

Which pre existing conditions increase the risk of infection?

Answer 5

1. Diabetes Mellitus

2. Eczema

Question 6

What does the Vulva look like in infection?

Answer 6

Red, itchy and sore

Question 7

Describe the discharge

Answer 7

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

Question 8

Change in PH of vagina?

Answer 8

4.5 - 7

Question 9

How is Vulvovagal candidiasis diagnosed?

Answer 9

Microscopy and culture of vaginal fluid

Question 10

Management of Vulvovaginal candidiasis

Answer 10

1. Topical clotrimazole pessary

2. Oral - Fluconozole

Question 11

Which treatment is contraindicated in pregnancy?

Answer 11

Oral fluconozole