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Candida - oral - Management
When should I admit or refer an otherwise healthy adult with oral candidiasis?
- Admit the person if there is widespread infection (such as oesophageal candidiasis, characterized by difficulty or pain on swallowing, and retrosternal pain), or there is evidence of systemic illness (candidaemia).
- Seek specialist advice or consider referral if the diagnosis is in doubt, or if the person:
- Has severe, extensive, widespread, or recurrent episodes of oral candidiasis.
- Does not respond adequately to treatment with oral fluconazole (or consider swabbing).
- Has breakthrough candidal infection while receiving preventive treatment (which 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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