Diagnostic Testing

• Microscopic investigation for the presence of blastospores or pseudohyphae; saline wet mount has a sensitivity of 40% to 50%, while a KOH preparation has a

sensitivity of 50% to 70%. Asymptomatic vaginal colonization of Candida albicans is not diagnostic of VVC since 10% to 20% of women are asymptomatic carriers of Candida species. Asymptomatic vaginal colonization does not require treatment; therefore the presence alone of Candida should not determine care.

• Vaginal pH less than or equal to 4.5; pH should remain normal in cases of fungal infection, while an elevated pH suggests bacterial infection.

• Candida cultures should be obtained only if signs and microscopy are inconclusive or in cases of recurrent VVC.

Table 83-1 Possible Risk Factors Associated With VVC

Risk Factor

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How To Deal With Rosacea and Eczema

Rosacea and Eczema are two skin conditions that are fairly commonly found throughout the world. Each of them is characterized by different features, and can be both discomfiting as well as result in undesirable appearance features. In a nutshell, theyre problems that many would want to deal with.

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