Moniliasis

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moniliasis

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Moniliasis

  1. 1. obstetric and gynaecology
  2. 2.  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.
  3. 3.  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.
  4. 4.  VAGINA MONILIASIS (candidiasis)
  5. 5. On the lining of the vagina
  6. 6.  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.
  7. 7. Woman with :o Diabeteso HIV infectiono Pregnancyo Obeseo Broad-spectrum antibiotic use
  8. 8.  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.
  9. 9.  Medical history , physical examination , laboratory test Cultures Pap and gonococci smear Urinalysis
  10. 10.  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
  11. 11.  Invasive candidiasis Effect the quality of life The infection interferes with sexual cavity Secondary infections
  12. 12. 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.
  13. 13.  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.
  14. 14.  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.
  15. 15.  Educate the patient with a vaginal infection to avoid contamination with feces from the GI tract by wiping from front to back after defecation.
  16. 16.  Nursing diagnosis Expected outcomes Nursing intervention Rationale Evaluation
  17. 17.  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
  18. 18. 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
  19. 19. Evaluation Patient outcome : infection has resolved or been bought under control and inflammatory and immunologic risk has been minimized
  20. 20.  Nursing diagnosis : pain (discomfort)related to infection Goals : the patient will have no pain or discomfort
  21. 21. 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
  22. 22. Evaluate Patient outcome : patient has no pain or discomfort
  23. 23. 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
  24. 24. 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
  25. 25. 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
  26. 26.  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.
  27. 27.  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.

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