Friday, 13 October 2017

YOUNG INFANT ORAL THRUSH

If left untreated, oral candidiasis will resolve in 3-8 weeks, but in most instances topical antifungal agents are used.

IF PERSISTENT, CONSIDER IMMUNODEFY




NYSTATIN FOLLOWED BY MICONAZOLE DAKTARIN


DAKTARIN GEL –  Instructions for Use: Apply 1ml, an amount equal to the size of three peas. Four times a day after feeds. Apply with a clean finger & gently smear the gel around the baby‟s gums and mouth. Daktarin Gel should never be given off a teaspoon or from a syringe. PLEASE NOTE: NYSTATIN CREAM and MICONAZOLE GEL are not effective for the treatment of thrush on the breasts/nipples. How long will it be before the pain goes ? Once treatment has started for both mother and baby the pain will normally ease within 2-3 days There can be a rebound effect around day 7-10 for 24hrs and then the pain will ease considerably It is important to continue treatment for one complete week after being symptom free, otherwise the pain may return Repeat prescriptions will be required from the GP, as it can take four weeks to get rid of the infection. What else you need to know Be diligent with using the treatment Change your breast pads after each feed Hot wash any clothing that comes into contact with the breast. Discard teats, pacifiers and nipple shields and replace with new at weekly intervals Steam sterilise, or boil (for 10 minutes) all feeding equipment being used (Pump kit parts, bottles, teats, pacifiers, nipple shields) Hot temperatures will kill thrush - cold will not Breastmilk should not be frozen at the time of a thrush infection, as thrush survives at cold temperatures & both mother and baby will be re-infected again when it is used.

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