Because Candida is part of the normal group of microorganisms that co-exist with all people, it is impossible to avoid contact with it. Good vaginal hygiene and good oral hygiene might reduce problems, but they are not guarantees against candidiasis. Other risk factors include low protein or vegetarian diets, a diet high in sugar, and use of antibiotics. There are also a number of ways vaginal candidiasis may be avoided:
Frequent douching and use of feminine sprays and bath products should be avoided, as these products may disturb the normal vaginal pH balance.
Drying the outside vaginal area thoroughly, and avoiding prolonged wear of a wet bathing suit, or damp undergarments.
Wiping from the front to the rear, away from the vagina, after a bowel movement or urination.
Avoiding sexual intercourse during treatment.
Using unscented sanitary pads during menstruation.
The use of cotton underpants, and the avoidance of tight fitting clothing.
Because hospital-acquired (nosocomial) deep organ candidiasis is on the rise, people need to be made aware of it. Patients should be sure that catheters are properly
maintained and used for the shortest possible time. The frequency, length, and scope of courses of antibiotic treatment should also be cut back.
BOOKS
Carlson, K.J., S.A. Eisenstat, and T. Ziporyn. The Harvard Guide to Women's Health. Harvard University Press, 1996.
PERIODICALS
Greenspan, Deborah, and John S. Greenspan. "HIV-related oral disease." The Lancet 348 (September 14, 1996):729-734.
Tobin, Marla J. "Vulvovaginal candidiasis: topical vs. oral therapy." American Family Physician 51 (May 15, 1995): 1715-1723.