Ver el código de «Template:Candidiasis Treatment»

====Uncomplicated====
''There is little resistance to azole medications; treatment often dictated by patient preference.''
*[[Fluconazole]] 150mg PO once (preferred)<ref name=management>Pappas PG, Kauffman CA, Andes DR, et al. Clinical Practice Guideline for the Management of Candidiasis: 2016 Update by the Infectious Diseases Society of America. Clin Infect Dis 2016; 62:e1.</ref>
**A second dose at 72hrs may be given if patient is still symptomatic
*Intravaginal therapy
**[[Clotrimazole]] 1 % cream applied vaginally for 7 days OR
**[[Clotrimazole]] 2% applied vaginally for 3 days
**[[Miconazole]] 2% cream applied vaginally for 7 days OR 4% cream x 3 days
**Butoconazole 2% applied vaginally x 3 days
**Tioconazole 6.5% applied vaginally x 1

====Complicated====
<u>Severe or immunosuppressed</u>
*[[Fluconazole]] 150mg PO q72h x 3 doses

<u>Non-albicans species</u> 
*For example, C. glabrata, C. krusei and other atypical Candida spp.
*Boric acid vaginal suppository intravaginal qday x ≥14 days
**Can be fatal if taken orally
*If empirically treated and later is found to have non-albicans Candida spp., no change in therapy is needed if patient is improving (otherwise switch to boric acid.

<u>Recurrent (≥ 4 infections in a year)</u>
*Treat as for uncomplicated (see above)
*Once therapy completed, prescribe long-term treatment
**[[Fluconazole]] 150mg PO qweek x 6 months, OR
**Intravaginal medication, such as clotrimazole 500mg PV qweek or 200mg PV twice a week

====Pregnant Patients====
*Intravaginal [[clotrimazole]] or [[miconazole]] are the only recommended treatments
*Duration is 7 days
*PO fluconazole associated with congenital malformations and spontaneous abortions<ref>Molgaard-Nielsen D et al. Association Between Use of Oral Fluconazole During Pregnancy and Risk of Spontaneous Abortion and Stillbirth. JAMA. 2016;315(1):58-67.</ref>