[Candiduria: a clinical and therapeutic approach]

Area of Science:

• Medical Mycology
• Infectious Diseases
• Nephrology

Background:

• Candiduria presents a diagnostic challenge, ranging from asymptomatic colonization to invasive fungal infections.
• Management strategies are often guided by clinical presentation and patient-specific risk factors.

Purpose of the Study:

• To review the epidemiology, diagnosis, and treatment of candiduria.
• To provide guidance on managing candiduria in diverse patient populations, including renal transplant recipients.

Main Methods:

• Literature review of epidemiological and clinical data.
• Discussion of diagnostic criteria and therapeutic options for candiduria.

Main Results:

• Candiduria necessitates careful evaluation to differentiate colonization from infection.
• Antifungal therapy (e.g., amphotericin B, fluconazole) or bladder irrigation may be indicated.
• Urinary catheter removal is crucial for persistent cases and to prevent recurrence.

Conclusions:

• Effective management of candiduria requires a tailored approach based on clinical context and risk assessment.
• Prompt diagnosis and appropriate intervention, including catheter management, are key to successful outcomes and preventing complications.