Epidemiology and Management of Candiduria / 대한의진균학회지

ABSTRACT

Candiduria is often observed in hospitalized patients. Candiduria is neither a symptom nor a sign, and it is not a disease definitly. Yeasts in urine can be detected in patients who have bladder colonization, and in patients who have upper urinary tract infection that developed either from ascending infection or hematogenous spread. Unfortunately, there are no diagnostic methods that reliably distinguish infection from colonization. Asymptomatic nosocomial candiduria does not frequently require treatment intervention, because morbidity is low and ascending infection and candidemia aer rare complications. Although there is a guideline actually for treatment of candiduria has been suggested by Infectious diseases Society of America, it was based almost on expert opinions and experience rather than controlled clinical trials. For candida cystitis, the first-line treatment is oral fluconazole and ascending pyelonephritis usually requires the administration of systemic antifungal agents with or without correction of the obstruction or surgical intervention.