A female client has experienced recurrent candidiasis with intense vaginal itching and excoriation. After treatment the client is found to have a white, cheesy discharge. What recommendation is necessary?
1. Referral to a surgeon for excision of infected tissue
2. Examination and treatment of sexual partner
3. Treatment with a stronger oral antibiotic
4. Routine douches with a topical antibiotic solution
2. Examination and treatment of sexual partner
Rationale:
Candidiasis is a sexually transmitted infection. It may be that this woman's sexual partner is also infected with candidiasis and that the couple is transmitting the infection between them. Examination and treatment of the partner is indicated. There is no need for tissue excision. Candidiasis is a yeast infection. Antibiotic therapy is not indicated and may, in fact, complicate treatment.
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