Candiduria: Difference between revisions
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==Background== | ==Background== | ||
*Colonization with [[candida]] without infection is common | |||
==Clinical Features== | ==Clinical Features== | ||
*Asymptomatic or signs/symptoms of [[UTI]] | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
==Evaluation== | ==Evaluation== | ||
*[[UA]], urine culture | |||
==Management== | ==Management== | ||
*If asymptomatic, no treatment needed except for: neonates, [[kidney transplant|renal transplant]] patients, [[pregnancy]], [[neutropenia|neutropenic]] patients, patients undergoing renal tract procedure | |||
*Catheter related infection frequently responds without therapy. | |||
===Antimicrobial treatment=== | |||
*[[Cystitis]]: [[Fluconazole]] 200 mg/d (3mg/kg) x 14d. | |||
*[[Pyelonephritis]]: [[Fluconazole]] 200 to 400 mg/d x 14d | |||
*[[neutropenia|Neutropenic]] patients: [[micafungin]] 100 mg/d IV or other echinocandin (anidulafungin, [[caspofungin]]) | |||
*Patients with [[fluconazole]] resistant candida can be treated with [[amphotericin B]] | |||
==Disposition== | |||
==See Also== | |||
*[[Candida]] | |||
==References== | ==References== | ||
<References/> | <References/> | ||
Latest revision as of 16:11, 16 October 2019
Background
- Colonization with candida without infection is common
Clinical Features
- Asymptomatic or signs/symptoms of UTI
Differential Diagnosis
Evaluation
- UA, urine culture
Management
- If asymptomatic, no treatment needed except for: neonates, renal transplant patients, pregnancy, neutropenic patients, patients undergoing renal tract procedure
- Catheter related infection frequently responds without therapy.
Antimicrobial treatment
- Cystitis: Fluconazole 200 mg/d (3mg/kg) x 14d.
- Pyelonephritis: Fluconazole 200 to 400 mg/d x 14d
- Neutropenic patients: micafungin 100 mg/d IV or other echinocandin (anidulafungin, caspofungin)
- Patients with fluconazole resistant candida can be treated with amphotericin B