MANAGEMENT OF CANDIDURIA

Candiduria, due to Candida albicans, Candida globrata and other organisms, has increased in frequency due the use of broad-spectrum antibacterials, immunosuppressive agents and other factors. The optimal management of candiduria is unknown due to an unclear definition of fungal urinary tract infection and the lack of well-designed clinical trials. Removal of urinary catheters, ruling out obstruction/stones and documenting presence of post-void residuals are useful in the management of candiduria. Amphotericin B bladder irrigants and oral fluconazole may be used in certain patients who are high risk or with persistence of candiduria after removal of the urinary catheter.