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14 Cards in this Set
- Front
- Back
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Treatment for COMPLICATED albicans vulvovaginal candidiasis (SEVERE) |
Fluc 150mg 1st dose 1st day, 2nd dose on 3rd day. |
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Treatment for COMPLICATED albicans vulvovaginal candidiasis (RECURRENT) |
Fluc 150mg for 7 to 14 days, every 3 days for 3 doses then 150mg weekly for 6 months. |
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Objective for treatment of vulvovaginal candidiasis and BV |
Symptomatic relief |
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Investigation and Treatment for NON albican vulvovaginal candidiasis |
Culture, Topical azoles (econazole, miconazole, clotrimazole, ketoconazole) |
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Treatment for NON RESOLVING NON ALBICAN vulvovaginal candidiasis |
Vaginal boric acid capsules |
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BV Rx in pregnancy |
Metronidazole 500mg bd / 400 mg tid for 7 days |
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BV Rx in non pregnant women |
Metronidazole 500mg bid or 400mg tid for 7 days PO or metronidazole 0.75% full applicator (5g) for 5 days intravaginally Or clindamycin 2% one full applicator (5g) for 7 days intra vaginally |
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Objective of treating trichomoniasis |
To decrease symptoms and reduce transmission |
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Alternative Rx for BV |
Tinidazole PO: 2g for 2 days 1g for 5 days or CLindamycin: 300mg PO BID 7 days 100mg IVag HS 3 days |
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Trichomoniasis Rx |
Metronidazole 2g single dose or divided doses on same day Or tinidazole 2g single dose both PO |
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Trichomoniasis Rx alternative |
Metronidazole 500mg bid, 400mg tid for 7 days |
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Diagnosis of BV |
Gram stain (diagnostic standard), Amsel criteria 3 out of 4 must be present: thin homogeneous vaginal discharge, clue cells on wet mount, positive whiff test, vaginal pH >4.5
For garderella vaginalis... dna probe or vaginal fluid sialidase activity. |
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Diagnosis of vulvovaginal candidiasis |
Culture (diagnostic standard) Dna probe/ antigen testing KOH testing (budding yeast hyphae) |
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Define Recurrent vulvovaginal candidiasis |
>4 times a year Immunocompromised/ diabetic Non albicans on culture Severe infection |
