Education And Debate

Fortnightly Review: Management of genital candidiasis

BMJ 1995; 310 doi: http://dx.doi.org/10.1136/bmj.310.6989.1241 (Published 13 May 1995) Cite this as: BMJ 1995;310:1241
  1. D W Denning
  1. Correspondence to: Dr D W Denning, Department of Infectious Diseases and Tropical Medicine (Monsall Unit), North Manchester General Hospital, Manchester M8 5RB.

    Abstract

    • Vaginal candidiasis affects about 75% of women, 40-50% having recurrent episodes

    • Pruritus vulvae and vaginal discharge are the cardinal symptoms

    • Candida albicans accounts for about 90% of infections and C glabrata for 5%

    • C glabrata infections are often resistant to azoles

    • Recurrent episodes require clinical examination, culture of swabs, and consideration of underlying disease

    • Male partners who do not have symptoms need not be examined, have swabs taken for culture, or be treated

    • Reduction of intestinal colonisation is of no value in preventing recurrence

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