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Re: CandidaFrom: ainsron@msn.comFri May 18 11:42:04 2001
For those of you who have Benign diseases of the vulva and vagina, (3rd ed.) by Kaufman,Friedrich and Gardner, that is actually specifically mentioned. Although, It is not something I've routinely recommended either. "One thing often overlooked is the patient's underclothing. Rashid and his group (1984) showed that routine laundering at household hot water temperatures (120-140 F) will not sterilize fabric. Faber and Clark (1927) established the thermal death point of Candida at 160 F and Hurley (1981) haslong recommended that patients boil their underwear between wearings. Many synthetic fabrics and garments will not tolerate long exposure to such temperatures. Such garments will not tolerate long exposure to such temperatures Such garments can only be sterilized by microwave or by soaking overnight in bleach or disinfectant. According to Friedrich and Phillips (1988) if the freshly washed articles are still wet or very damp, high-intensity microwave exposure for five minutes is sufficient to kill the organism. Therefore, beginning at the first sign of infection and continuously throughout therapy the patient should use disposable panties or pantyliners, microwave freshly launderedunderwear, or else boil or bleach-soak any pair worn without such protection." (p.374)
>In treating chronic candidiasis - do any of you specifically ask patients to
-- Ronald E. Ainsworth, MD
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