Doctors’ mistakes in choosing tactics for examining and treating patients with superficial candidiasis of skin and mucous membranes

Sokolova T.V.

Medical Institute of Continuing Education of the Federal State Budgetary Institution of Higher Education «Moscow State University of Food Production»

SPIN RSCI: 6402-9066
Scopus AuthorID: 57213089279
ORCID: 0000-0003-3573-0874

Malyarchuk A.P.

Medical Institute of Continuing Education of the Federal State Budgetary Institution of Higher Education «Moscow State University of Food Production»

Doctors’ mistakes in choosing tactics for examining and treating patients with superficial candidiasis of skin and mucous membranes

Authors:

Sokolova T.V., Malyarchuk A.P.

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Journal: Russian Journal of Clinical Dermatology and Venereology. 2020;19(3): 343‑354

DOI: 10.17116/klinderma202019031343

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To cite this article:

Sokolova TV, Malyarchuk AP. Doctors’ mistakes in choosing tactics for examining and treating patients with superficial candidiasis of skin and mucous membranes. Russian Journal of Clinical Dermatology and Venereology. 2020;19(3):343‑354. (In Russ.)
https://doi.org/10.17116/klinderma202019031343

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INTRODUCTION

Candidiasis of skin and mucous membranes is often found in practice of doctors of all specialties. Years of experience in advisory work indicate that doctors often make mistakes in the diagnosis and treatment tactics of this pathology. The presence of non-invasive process in patients indicates the advisability of using topical antimycotics.

AIM OF STUDY

Analysis of dermatovenerologists’ mistakes in choosing the tactics for examining and treating patients with superficial candidiasis of the skin and/or mucous membranes.

MATERIAL AND METHODS

The material was obtained during examination and treatment of patients who were referred for advisory appointment with the authors of this article during 5 years. The diagnosis was confirmed clinically, microscopically (pseudomycelia filaments, budding cells), bacteriologically and by determining the level of specific IgM for Candida albicans.

RESULTS

Cases of medical errors are ranked in 5 categories: 1) the identification of not all foci of candidal infection and, as a result, the persistence of disease; 2) the prescription of systemic antibiotics, corticosteroids and cytostatics without covering with antimycotics for diseases of various origins; 3) the possibility of oral candidiasis in patients with bronchial asthma using topical inhaled dosage forms of corticosteroids; 4) complication of candidal contamination of the lesions with dermatoses of intertriginous localization; 5) relapses of urogenital candidiasis in men as a result of reinfection from a woman with untreated candidal vulvovaginitis.

CONCLUSION

The article is intended to increase the level of professional training of dermatovenerologists and doctors of related specialties. The authors’ experience indicates the high therapeutic efficacy of sertaconazole and povidone iodine in the treatment of candidiasis of various localization.

Keywords:

candidiasis of skin

mucous membranes

errors in diagnosis and treatment

sertaconazole

povidone-iodine

Authors:

Sokolova T.V.

Medical Institute of Continuing Education of the Federal State Budgetary Institution of Higher Education «Moscow State University of Food Production»

SPIN RSCI: 6402-9066
Scopus AuthorID: 57213089279
ORCID: 0000-0003-3573-0874

Malyarchuk A.P.

Medical Institute of Continuing Education of the Federal State Budgetary Institution of Higher Education «Moscow State University of Food Production»

Received:

24.03.2020

Accepted:

19.04.2020

List of references:

Gazaryan OL. Differential diagnosis of mycosis of large folds and the choice of treatment tactics: Dis. ... kand. med. nauk. M. 2016. (In Russ.).
Sokolova TV, Maljarchuk AP. Candidiasis balanoposthitis as an important problem of superficial skin mycoses. Russian Journal of Clinical Dermatology and Venereology = Klinichaskaya dermatologiya i venerologiya. 2017;16(2): 33-43. (In Russ.). https://doi.org/10.17116/klinderma201716233-43
Gladko VV, Sokolova TV, Ilyina IA. Urogenital candidiasis. A manual for doctors. M. 2004. (In Russ.).
Sokolova TV, Minakova IV. Urogenital candidiasis of a female contingent in Bishkek. Success medical mycology. 2006;8:16-17. (In Russ.).
Sokolova TV, Grigorjan SA, Mokronosova MA. The local antimycotics in a treatment of the microbial eczema associated with skin and mucous membranes candidosis. Clinical Mycology and Immunology. 2006;4:46. (In Russ.).
Sokolova TV, Grigorjan SA, Mokronosova MA. The specific features of the course of candidiasis-complicated microbial eczema and its management. Russian Journal of Skin and Sexually Transmitted Diseases. 2007;1:13-20. (In Russ.).
Sokolova TV. Candidiasis of the skin and mucous membranes as a complication of irrational antibiotic therapy of microbial eczema. Journal of the attending physician. 2008;9:19-26. (In Russ.).
Sokolova TV, Klivitskaja NA, Pankratova EV, Sirmajs NS. Diet for candidiasis. Immunology, allergology, infectology. 2010;1:180-181. (In Russ.).
Sokolova TV, Gazarjan OL, Maljarchuk AP. Candidiasis of large folds: new approach to an old problem. Immunopathology, allergology, infectology. 2014; 4:30-41. (In Russ.).
Sokolova TV, Gladko VV, Malyarchuk AP, Gazaryan OL. Mycosis of large folds. Epidemiology, etiology, clinic, diagnosis, treatment, prevention. A manual for doctors with an atlas, ed. prof. Sokolova T.V. M. 2016. (In Russ.).
Sokolova TV. The dependence of the frequency of registration of candidiasis of the skin and mucous membranes on the classification used. Successes of medical mycology. M. 2017;17:213-215. (In Russ.).
Sergeev AJu, Sergeev JuV. Candidiasis (the nature of the infection, mechanisms of aggression and defense, laboratory diagnosis, clinic and treatment). M.: Triad-X; 2002. (In Russ.).
Shevjakov MA. Digestive candidiasis: clinic, diagnosis and treatment: Dis. ... d-ra med. nauk. SPb. 2000. (In Russ.).
Shevjakov MA, Mirzabalaeva AK. Diagnosis and treatment of candidiasis of the mucous membranes of the digestive and urogenital tracts. Antibiotics and chemotherapy. 2002;47(4):24-28. (In Russ.).
Khmelnitsky OK, Shevyakov MA, Sarantsev BV. About cytological and immunomorphological studies in the diagnosis of candidiasis of the large intestine. News of clinical cytology in Russia. 1998;2(26):59-62. (In Russ.).
Prilepskaya VN, Ankirskaya AS, Bayramova GR, Muravyova VV. Vaginal candidiasis. M.: Medical book; 1997. (In Russ.).
Mirzabalaeva AK, Dolgo-Saburova YuV, Savelyeva OG, Klimko NN. Pathogens of chronic recurrent candidal vulvovaginitis and combined forms of genital infections of women. Bulletin of the Russian Association of Obstetricians-Gynecologists. 2001;1:79-82. (In Russ.).
Kuznetsova EK. Microbiocenosis of the male reproductive system and role during gonococcal infection: Dis. ... kand. med. nauk. Orenburg. 2006. (In Russ.).
Muravyova VV, Priputnevich TV, Zavyalova MG, Ankirskaya AS, Ilyina EN. Comparative assessment of species identification of vaginal yeast isolates using maldi-tofms and conventional (biochemical and phenotypic) methods. Clinical Microbiology and Antimicrobial Chemotherapy. 2014;1(1): 10-17. (In Russ.).
Jakovlev AB. Candidal balanoposthitis: etiology, clinical features, diagnostics, treatment. Terra Medica: All-Russian Interdisciplinary Medical Journal. 2015;1-2:18-24. (In Russ.).
Sokolova TV, Montes-Rosel KV, Malyarchuk AP, Malyarchuk TA. Effectiveness of Treatment of Mycosis of the Feet with Topical Antimycotics Various Pharmacological Groups. Medforum. Dermatovenerologija. 2017;40(3): 24-30. (In Russ.).
Radzinskij ME, Ordijanc IM. Prevention of postpartum infections of women with candidiasis vulvovaginitis. Ginekologija. 2006;8(4):108-110. (In Russ.).
Lutsevich KA, Reshetko OV, Rogozhina IE, Lutsevich NF. Clinical efficacy of sertaconazole (zalain) in the local treatment of vulvovaginal candidiasis during pregnancy. Russian Bulletin of the Obstetrician-Gynecologist. 2008;3:77-80. (In Russ.).
Voznesenskaja NV, Haritonov VM, Burganova RF, Istomina NS, Saakjan KG. Sertaconazole (zalin) in the treatment of vulvovaginal candidiasis of pregnant women. Ulyanovsk Medical and Biological Journal. 2013;2:36-39. (In Russ.).
Logutova LS, Gasparjan ND, Budykina TS, Gorenkova OS, Kruchinina EV, Alimova NG. Evaluation of the effectiveness of zalain in the treatment of patients with acute candidal vulvovaginitis. Russian Bulletin of Obstetrics and Gynecology. 2007;7(2):32-34. (In Russ.).

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