Candiduria: Difference between revisions
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*Catheter related infection frequently responds without therapy. | *Catheter related infection frequently responds without therapy. | ||
*If antimicrobial treatment indicated: | *If antimicrobial treatment indicated: | ||
**Cystitis: Fluconazole 200 mg/d (3mg/kg) x 14d | **Cystitis: Fluconazole 200 mg/d (3mg/kg) x 14d. | ||
**Pyelonephritis: Fluconazole 200 to 400 mg/d 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 | |||
==References== | ==References== | ||
Revision as of 22:31, 2 August 2016
Background
- Colonization without infection is common
Clinical Features
Differential Diagnosis
Evaluation
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.
- If antimicrobial treatment indicated:
- 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