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

Stop Headache Drug Free

Stop Headache Drug Free

If you are suffering from headaches, you can make the pain stop just by following some basic but little known principles. Take 15 minutes browsing through this guide and you'll find dozens of tips to gain control in the battle against headache pain.

Get My Free Audio Book


Post a comment