Moniliasis

Condition of vagina : moniliasis

obstetric and gynaecology

INTRODUCTION

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.

DEFINITION

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.

VAGINA MONILIASIS (candidiasis)

On the lining of the vagina

CAUSES

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.

RISK FACTORSWoman with : o Diabetes o HIV infection oPregnancy oObeseoBroad-spectrum antibiotic

use

SIGN AND SYMPTOM 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.

DIAGNOSTIC TESTS Medical history , physical

examination , laboratory test Cultures Pap and gonococci smear Urinalysis

COMPLICATION 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

Con’t Invasive candidiasis Effect the quality of life The infection interferes with

sexual cavity Secondary infections

TREATMENTTreatment 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.

NURSING CARE OF PATIENT WITH

VAGINA MONILIASIS

Nursing care

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.

con’tRecommend 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.

Con’t

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 CARE PLAN

NURSING CARE PLAN

Nursing diagnosisExpected outcomesNursing interventionRationaleEvaluation

Nursing care plan 1 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

CON’T

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

C0N’TEvaluation Patient outcome : infection has

resolved or been bought under control and inflammatory and immunologic risk has been minimized

Nursing care plan 2 Nursing diagnosis : pain

(discomfort)related to infection

Goals : the patient will have no pain or discomfort

Con’tNursing 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

Con’t

Evaluate Patient outcome : patient has

no pain or discomfort

Nursing care plan 3Nursing diagnosis Deficient 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

Con’tNursing 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

Con’tEvaluation 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

Health teachingLower 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.

health teaching

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.