Moniliasis, or candidiasis, is a common fungal infection caused by Candida that usually infects moist areas of the body like the vagina. It is more common in those with diabetes, obesity, pregnancy, or those using antibiotics or hormonal contraceptives. Symptoms include burning, itching, and thick white discharge. Diagnosis involves examination and testing. Treatment consists of antifungal creams or suppositories used for 1-2 weeks. Nursing focuses on pain management, health education to prevent further infections, and monitoring for complications.

1. obstetric and gynaecology

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.  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.  VAGINA MONILIASIS (candidiasis)

5. On the lining of the vagina

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. Woman with :
o Diabetes
o HIV infection
o Pregnancy
o Obese
o Broad-spectrum antibiotic use

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.  Medical history , physical examination ,
laboratory test
 Cultures
 Pap and gonococci smear
 Urinalysis

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.  Invasive candidiasis
 Effect the quality of life
 The infection interferes with sexual cavity
 Secondary infections

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.

14.  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.

15.  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.

16.  Educate the patient with a vaginal infection
to avoid contamination with feces from the GI
tract by wiping from front to back after
defecation.

18.  Nursing diagnosis
 Expected outcomes
 Nursing intervention
 Rationale
 Evaluation

19.  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

20. 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

21. Evaluation
 Patient outcome : infection has resolved or
been bought under control and inflammatory
and immunologic risk has been minimized

22.  Nursing diagnosis : pain
(discomfort)related to infection
 Goals : the patient will have no pain or
discomfort

23. 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

24. Evaluate
 Patient outcome : patient has no pain
or discomfort

25. Nursing diagnosis
Deficient knowledge : measure to prevent infection
Expected 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

26. 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

27. 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

28.  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.

29.  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.