Pedemy All toolsChoose the site and answer one question to get the treatment, doses, and when to look further.
This tool covers the common Candida infections of infancy and childhood: oral thrush in infants, thrush in older children and teens, Candida diaper dermatitis, and nipple candidiasis in breastfeeding mothers. One or two taps lead to a treatment plan.
Nystatin suspension is shown as fixed volumes for term and preterm infants and for older children, and oral fluconazole is shown in mg/kg with a maximum per dose, calculated when a weight is entered. The tool explains when to switch from nystatin to fluconazole and when systemic therapy is needed for esophageal symptoms.
It also flags when thrush is a clue to something more, such as HIV, diabetes or an immune defect when thrush appears beyond infancy without a cause, and lists other causes to consider when a diaper rash does not respond. Child care exclusion is not needed.
Nystatin suspension 100,000 units/mL, 1 mL to each side of the mouth (0.5 mL each side in preterm infants) 4 times daily after feeds, continued 48 hours after the plaques clear, usually 7–14 days.
When thrush does not clear with correctly given nystatin, for moderate to severe disease in older children, and for esophageal candidiasis. The oral dose is 6 mg/kg on day 1, then 3 mg/kg once daily.
Yes. Treat the mother's nipples with a topical antifungal and the baby's mouth at the same time, and sterilize pacifiers, bottle nipples and pump parts, to stop reinfection.
Candida is beefy red, involves the skin folds, and has satellite papules or pustules. Irritant rash affects the convex skin and spares the folds.
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