Vaginal candidiasis Flashcards
(18 cards)
What is the most common cause of vulvovaginal candidiasis?
Candida albicans (a fungal infection)
What is vulvitis?
Inflammation of the vulva
Do asymptomatic Candida colonisations require treatment?
No, treatment is not required unless symptomatic
List four key symptoms of vulvovaginal candidiasis.
Itching, soreness, thick white discharge, pain during sex or urination
What diagnostic investigations may be used?
High vaginal swab (HVS) for culture, speciation, and sensitivity
Which daily hygiene habits should be avoided?
Irritant soaps, bubble bath, wipes, douching, tight/non-absorbent clothing
What is first-line oral treatment for acute thrush?
Fluconazole 150 mg oral capsule, single dose
What is the alternative first-line treatment if oral therapy is unsuitable?
Clotrimazole 500 mg pessary, single dose
What should be done if vulvitis is present?
Add topical clotrimazole 1% or 2% cream (2–3 times/day)
What’s a warning with topical imidazoles?
They may damage latex condoms and diaphragms
Give two examples of intravaginal creams as alternatives.
Clotrimazole 10% cream (5 g, single dose), Miconazole 2% cream (5 g for 7 nights)
Give an oral alternative to fluconazole.
Itraconazole 200 mg twice a day for 1 day
What treatment should be avoided in breastfeeding women?
Oral antifungals (use topical imidazoles instead)
What treatment is recommended in pregnancy?
Clotrimazole 500 mg pessary at night for up to 7 nights
Should oral antifungals be used in pregnancy?
No – avoid oral azoles in pregnancy
Name five common triggers for recurrent infections.
Antibiotics, diabetes, pregnancy, HRT, immunosuppression
What is the induction regimen for recurrent infection?
Fluconazole 150 mg orally every 72 hours for 3 doses
Give three examples of imidazoles used for vaginal candidiasis.
Clotrimazole, miconazole, econazole
