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Candida - oral - Management
When should I admit a person with oral candidiasis who is HIV-positive?
- Admit the person if there is widespread and invasive infection (such as oesophageal candidiasis, characterized by difficulty or pain on swallowing, and retrosternal pain), or the person is systemically unwell.
- Seek specialist advice or consider referral if the diagnosis is in doubt, or if the person:
- Has been lost to specialist follow up.
- Has severe, extensive, widespread, or recurrent episodes of oral candidiasis.
- Does not respond adequately to treatment with oral fluconazole (consider swabbing).
- Has breakthrough candidiasis while taking preventive treatment (this may indicate candidal resistance).
- Consider referring for biopsy those people with chronic plaque-like oral candidiasis that is unresponsive to treatment.
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