Vaginal candidiasis in the elderly, how is it treated?

Patient's question:

It has been more than five and a half months since the patient has been unable to inform their family due to their age, leading to a missed opportunity in addressing the condition. When they finally sought treatment, the pus formation was quite severe. After a week of medication, there was significant improvement. In the second week, the medication still showed effectiveness, but it became less noticeable. The following medications were used: Clarithromycin sustained-release tablets, Acyclovir dispersible tablets, Mupirocin ointment, and Jie'eryin liquid.
In the third week, the doctor recommended discontinuing oral medications and focusing solely on topical treatments, but there were no signs of improvement. The doctor advised waiting for gradual healing. Now, two more months have passed. What should be done? When revisiting the clinic, they were only prescribed some topical solutions and ointments, leaving no other options. The patient hopes that the experts here can provide a practical and effective solution. Urgent!!!
Previous Treatment and Effects: There were no solutions available for medication insertion. The pH level was greater than 4.5, and the cleanliness was insufficient.

Doctor's answer:

The treatment principle is to enhance vaginal resistance and inhibit the growth and adaptation of bacteria.
1. Enhancing vaginal acidity
Female care liquid is not only good for daily cleaning and regulation but also, during illness, using a weak acid-formulated female care liquid can inhibit the growth and adaptation of harmful bacteria. When using the toilet outdoors, use female hygiene wipes to dry the external genitalia and keep them dry to inhibit the growth of harmful bacteria.
2. Inhibiting bacterial growth: Antibiotic powder or Jiaoyan gel disinfectant can be placed inside the vagina, once every other day. For senile vaginitis, use it for 5–7 times.

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