Friday, February 29, 2008

Genital candidiasis treatment measures

No treatment can be asymptomatic. Removal of risk factors, treatment prohibited during sexual intercourse and at the same time for a spouse or sexual partner. (1) vulvovaginal candidiasis (VCC) Mainly local medication, imidazole antifungal effective than nystatin. The imidazole antifungal therapy, 80% -90% of patients with symptoms disappeared, Candida culture-negative. 1.3% sodium bicarbonate solution or rinse vulvovaginal 1:5000 crystal solution perfusion vagina, 1-2 times daily. 2. Nystatin suppository or suppository imidazole antifungal agents, such as clotrimazole, miconazole, econazole-and-Bukang, one night, vaginal insertion depths, a total of 1-2 weeks. 3. Genital - imidazole external application can antifungal agents, such as clotrimazole cream, miconazole cream, cream-econazole, ketoconazole cream or cream and Bifonazole. 4. If this method can be ineffective for Oral following drugs: ① ketoconazole, 400mg daily, a total of five days; ② a single dose of fluconazole 150 mg oral; ③ Itraconazole 200mg, twice daily (on the 1st therapy) or 200 mg once a day, even for 3 days. (2) of recurrent vulvovaginal candidiasis (RVVC) Clinical more common, although some may find incentives, but the epidemic incidence and impact of the existence of objective factors also unclear. There is no best treatment programs. However, prevention or treatment of systemic antifungal RVVC can be effective in reducing the recurrence rate. RVVC in all cases before the start of treatment should be confirmed culture. 1. Itraconazole, oral, 200mg menstrual section on the 1st, a total of six consecutive menstrual cycles, then 200mg daily, on the 3rd treatment. 2. Ketoconazole, oral, 100 mg daily, a total of six months. (3) - Candida balanoposthitis Normal saline or 0.1% Er Mine Treated lesions rinse solution, 2-3 times daily. After washing external application of 1% -2% of the crystal or imidazole cream. Foreskin too long to heal after circumcision should be done to prevent recurrence. With urethritis may Oral ketoconazole, fluconazole or itraconazole.

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