Candidiasis Testing Singapore | Shim Clinic
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Candidiasis screening/diagnostic test/check clinic, Singapore. Private and confidential service. Definitions, references, and latest news.
Candidiasis Testing is by gram stain smear, SurePath, ThinPrep, culture.
LABORATORY TESTS
- Gram-stain or wet mount (saline or 10% KOH) of swabs from the vulva/vaginal wall, or penis/prepuce will reveal budding yeast cells and pseudohyphae (sensitivity 60%)
- Vaginal pH 4 – 4.5
- Culture on Sabouraud media (isolation in the absence of symptoms and negative direct smear is not an indication for treatment)
- Serum antibodies should not be used for diagnosis
DIAGNOSIS
Symptoms and signs of vulvo-vaginitis or balano-posthitis
PLUS
Demonstration of yeasts/pseudohyphae on wet mount or Gram-stain or positive culture
Sexual risk (of HIV/STD/pregnancy), and what you can do before and after exposure.
| Timeline | HIV | STD | Pregnancy |
|---|---|---|---|
| Before exposure | |||
| Contraception (females only) |
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| HIV PrEP (pre-exposure prophylaxis) – Stop HIV infection before exposure |
STD vaccine: – Hepatitis vaccine – HPV vaccine |
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| STD / HIV exposure | No condom / Condom broke / Condom slip |
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| 0-72 hours | HIV PEP (post-exposure prophylaxis) – Stop HIV infection after exposure |
STD testing * – Screening test – to look for asymptomatic infections – from previous exposures |
Emergency contraception with the morning-after pill (females only) |
| 2 weeks | HIV DNA Test | ||
| 1 month | HIV 4th Generation Test – SD Bioline HIV Ag/Ab Combo – Fingerprick blood sampling. – 20 minutes to results |
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| 3 months | HIV 3rd Generation Test – OraQuick® HIV-1/2 Antibody – Oral fluid or – Fingerprick blood sampling. – 20 minutes to results |
STD testing * – Full & comprehensive – diagnostic test – to look for current infections |
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| Watch for | HIV Symptoms | STD Symptoms | |
| If infected | HIV Treatment | STD Treatment | Abortion |
* Males: Do not urinate for at least 4 hours before arriving.
* Females: testing is more accurate when you are not menstruating.
References