What is the recommended treatment for vulvovaginitis caused by Candida albicans?

The recommended treatment for vulvovaginitis caused by Candida albicans is clotrimazole cream, which is an antifungal medication used topically. Clotrimazole works by inhibiting the growth of fungi, effectively targeting the infection caused by Candida species. It is particularly suitable for localized infections like vulvovaginitis because it can be directly applied to the affected area, allowing for a high concentration of the medication to act where it is needed most. This route of administration is also advantageous in minimizing systemic side effects compared to oral medications.

While fluconazole is also an effective treatment for Candida infections, it is typically used for more extensive or recurrent cases rather than first-line treatment for uncomplicated vulvovaginitis. Metronidazole gel is specifically indicated for bacterial vaginosis and is ineffective against fungal infections like those caused by Candida albicans. Nystatin tablets are less commonly used for vaginal candidiasis, as local antifungal agents (like clotrimazole) are preferred for their effectiveness in treating localized infections with fewer systemic implications.