By vgreene, 24 January, 2017 Treat w/ topical azole x7 days;1 if well-controlled HIV infxn, treat same as seronegative pt; F/U generally unnecessary unless sx persist/recur2 after tx; treat male partner only if sx of balanitis3
By vgreene, 24 January, 2017 Treat w/ short course topical (or oral) azole;1 if well-controlled HIV infxn, treat same as seronegative pt; F/U generally unnecessary unless sx persist/recur2 after tx; treat male partner only if sx of balanitis3
By vgreene, 24 January, 2017 Use s sx and tests to diagnose VVC 1 perform wet mount on all pts if complicated VVC 2 obtain cx
By vgreene, 24 January, 2017 If complicated VVC,2 obtain vaginal cx to confirm dx, identify unusual species7
By vgreene, 24 January, 2017 Perform exam of wet mount w/ KOH5 on all women w/ s/sx, treat if (+). If symptomatic but (-)KOH, consider vaginal cx for Candida;6 if cx cannot be performed, consider empiric tx
By vgreene, 24 January, 2017 Dx if signs/sx3 of VCC present + 1 of: (1) wet prep (saline, 10% KOH) or Gram stain of vag d/c showing budding yeast/hyphae/pseudohyphae, or (2) cx/other test4 yielding (+)result for yeast species
