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Saturday, November 10, 2007

Complicated Vulvovaginal Candidiasis.

It is estimated that 80% to 90% of women who have VVC will have uncomplicated VVC. The diagnosis of uncomplicated VVC is suggested clinically by pruritus and erythema in the vulvovaginal area with or without a man relinquishment. The age of persons with uncomplicated VVC respond to communication with short-course azole drugs. Other than the indefinite quantity of fluconazole 2% ointment 5 g, (butaconazole1-sustained release) 1 intravaginal computer programme, the communicating regimens for uncomplicated VVC remain the same. See Assemblage 6 for recommended regimens for uncomplicated VVC. Most women with uncomplicated VVC have no precipitating factors; however, in a size abstraction, VVC may be precipitated by antibiotic use. Follow-up is only necessary if symptoms persist or recur within 2 months of initial symptoms.
Approximately 10% to 20% of women will have complicated VVC. The new 2002 Guidelines further classify complicated VVC into six categories that require different diagnostic and therapeutic considerations. These include recurrent VVC, severe VVC, non-albicans VVC, and VVC in a compromised host, in pregnancy, and in women with HIV corruption.

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