Vaginal Candiasis Flashcards
(15 cards)
What are the typical symptoms of vaginal candidiasis?
Vaginal itching
What is the most common causative organism of vaginal candidiasis?
Candida albicans
What are the risk factors for developing vaginal candidiasis?
Pregnancy
What laboratory test confirms the diagnosis of vaginal candidiasis?
Vaginal swab microscopy using KOH preparation showing pseudohyphae and budding yeast
What is the typical vaginal pH in a patient with vaginal candidiasis?
Normal vaginal pH (4.0–4.5)
How is the diagnosis of vaginal candidiasis initially made?
Clinically based on characteristic symptoms and confirmed with microscopy
What is the next best step in diagnosis after identifying classic symptoms?
KOH prep of vaginal discharge to look for pseudohyphae
What is the first-line treatment for uncomplicated vaginal candidiasis?
A single oral dose of fluconazole
What are alternative treatments to oral fluconazole for vaginal candidiasis?
Topical azole agents such as clotrimazole or miconazole
What is the recommended treatment approach for recurrent vulvovaginal candidiasis?
Fluconazole every 72 hours for 3 doses followed by weekly maintenance therapy
What is the preferred treatment for vaginal candidiasis during pregnancy?
Topical azole therapy (e.g.
How does vaginal pH help distinguish candidiasis from other vaginal infections?
Vaginal pH remains normal in candidiasis
Why does antibiotic use increase the risk of vaginal candidiasis?
Antibiotics reduce normal vaginal flora
How many episodes per year define recurrent vulvovaginal candidiasis?
Four or more episodes per year
What symptom suggests external involvement in dysuria from vaginal candidiasis?
Pain with urination localized to the vulva rather than internal burning
