Candiduria
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