Moniliasis

moniliasis

1. Condition of vagina : moniliasis obstetric and gynaecology

2. 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.

3. 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.

4. VAGINA MONILIASIS ( candidiasis )

5. On the lining of the vagina

6. 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.

7. RISK FACTORS Woman with : Diabetes HIV infection Pregnancy Obese Broad-spectrum antibiotic use

8. 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.

9. DIAGNOSTIC TESTS Medical history , physical examination , laboratory test Cultures Pap and gonococci smear Urinalysis

10. 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

11. Con’t Invasive candidiasis Effect the quality of life The infection interferes with sexual cavity Secondary infections

12. TREATMENT Treatment consist of : Advice regarding personal hygiene. Avoidance of synthetic undergarments. Finger nails should be clipped short. 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. NURSING CARE OF PATIENT WITH VAGINA MONILIASIS

14. 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.

15. con’t 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. 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.

17. NURSING CARE PLAN

18. NURSING CARE PLAN Nursing diagnosis Expected outcomes Nursing intervention Rationale Evaluation

19. 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

20. 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

21. C0N’T Evaluation Patient outcome : infection has resolved or been bought under control and inflammatory and immunologic risk has been minimized

22. Nursing care plan 2 Nursing diagnosis : pain (discomfort)related to infection Goals : the patient will have no pain or discomfort

23. Con’t 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. Con’t Evaluate Patient outcome : patient has no pain or discomfort

25. Nursing care plan 3 Nu r sing 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. Con’t 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. Con’t 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. Health teaching L ower 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. 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 .