Moniliasis (candidiasis) is more common with cancer, obesity, diabetes, immunologic disorder, pregnancy, and the use of hormonal contraceptives. However approximately 75% of all woman have a yeast infection some time in their lives.
Moniliasis (candidiasis) is an infection with a fungus of the genus candida. Usually a superficial infection of the moist areas of the body Caused inflammation of the vulva and vagina or vulvovaginal glands.
Yeast infection occurs when the normal environment in the vagina changes. e.g : poor hygiene (soiled underwear and transfer of fecal yeasts) and douching. Prolonged antibiotic use. Using oral contraceptives. Transmitted by sexual intercourse.
Woman with :o Diabeteso HIV infectiono Pregnancyo Obeseo Broad-spectrum antibiotic use
Redness and burning sensation Vaginal pain. Burning sensation. Internal or external genital itching. Clumped discharge resembling cottage cheese. Irritation of the cervix. Bread-like, "yeasty" odor from the genital area. Vaginal discharge.
Medical history , physical examination , laboratory test Cultures Pap and gonococci smear Urinalysis
Moniliasis can spread throughout the body, causing yeast infections in vital organs, such as the heart and the brain. This can result in critical, life-threatening complications, such as: Endocarditis Meningitis Nephritis
Invasive candidiasis Effect the quality of life The infection interferes with sexual cavity Secondary infections
Treatment consist of :o Advice regarding personal hygiene.o Avoidance of synthetic undergarments.o Finger nails should be clipped short.o Antifungal product : e.g : miconazole ; butoconazole. - Miconazole nitrate vagina suppository, 200mg at bed time for 3 day. - Butoconazole 2% cream 5g intravaginally at bed time for 3 day.
Teach the patient to keep her or his skin dry and free of irritation and to use a clean towel and wash cloth daily. Applied to the creams should be continued for 2 weeks after the symptoms disappear.
Recommend cornstarch, nystatin powder, or encourage the patient to use cold compresses or sitz baths to relieve itching. Instruct the patient to wash his or her hands thoroughly after touching infected areas dry padding to obese patients to help avoid irritation in skin folds.
Educate the patient with a vaginal infection to avoid contamination with feces from the GI tract by wiping from front to back after defecation.
Nursing diagnosis : high risk for infection related to inflammatory process such as impaired skin and organ integrity Expected outcome : the patient infection will be resolute or he brought under control without complication
Nursing intervention Discuss important treatment regimed and followed up care Monitor vital sign Laboratory test result Assist patient in observing for sign of worsening condition or systemic complication
Evaluation Patient outcome : infection has resolved or been bought under control and inflammatory and immunologic risk has been minimized
Nursing diagnosis : pain (discomfort)related to infection Goals : the patient will have no pain or discomfort
Nursing intervention assess the client perineal area for redness , irritation and drainage Ask the client the rate her level of discomfort on a scale 1 to 10 Help patient minimize discomfort with prescribed treatment Reassure patient that most symptom will subside
Evaluate Patient outcome : patient has no pain or discomfort
Nursing diagnosisDeficient knowledge : measure to prevent infectionExpected outcomes Client will exhibit sign and symptom of resolving infection Client will state situation that increase the risk for yeast infection Client will identify measure to maintain vaginal integrity and healthy
Nursing intervention Assist the client the cleaning the perineal area with warm soap and water . instruct her to perform frequently perinael care Encourage the client to wipe the area using a front to back motion Discuss the client that can contribute to yeast infection such as medication , douching , perfumed feminine hygiene spray and tight poorly ventilated clothing
Evaluation Assist the client the cleaning the perineal area with warm soap and water . instruct her to perform frequently perinael care Encourage the client to wipe the area using a front to back motion Discuss the client that can contribute to yeast infection such as medication , douching , perfumed feminine hygiene spray and tight poorly ventilated clothing
Lower risk of developing or transmitting candidiasis by: Avoid douching. Changing tampons frequently. Cleansing the genitals daily with mild soap and water. Eating a well-balanced, healthy diet.
Following treatment plan for conditions such as diabetes and HIV/AIDS. Getting early and regular prenatal care when pregnant. Not using feminine deodorants or scented or deodorant tampons. Not wearing tight-fitting underwear, thongs, jeans, or other pants. Seeking regular routine medical care.