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Treatment for Invasive Candidiasis

How is invasive candidiasis treated?

Invasive candidiasis needs to be treated with prescription antifungal medication through a vein (IV) or by mouth. The specific type and dose of medication usually depends on the patient’s age, immune status, and severity of the infection. For most adults, the recommended antifungal treatment is fluconazole or an echinocandin (caspofungin, micafungin, or anidulafungin).

How long does the treatment last?

For candidemia, treatment should continue for 2 weeks after signs and symptoms have resolved and Candida yeasts are no longer in the bloodstream. Other forms of invasive candidiasis, such as infections in the bones, joints, heart, or central nervous system, usually need to be treated for a longer period of time.

Healthcare providers can click here for the Infectious Diseases Society of America’s Clinical Practice Guidelines for the Management of Candidiasis [PDF - 33 pages].