For moderate to severe oropharyngeal candidiasis, IDSA recommends oral fluconazole.įor HIV-infected adults and adolescents with oropharyngeal candidiasis, CDC, NIH, and HIV Medicine Association of IDSA recommend oral fluconazole as drug of choice if topical treatment used, clotrimazole lozenges, miconazole buccal tablets, or nystatin oral suspension recommended. Topical treatment of candidiasis of the oral cavity (oropharyngeal candidiasis, thrush).įor mild oropharyngeal candidiasis, IDSA recommends topical treatment with clotrimazole lozenges or miconazole buccal tablets nystatin (oral suspension) is a recommended alternative. Although studies have not provided evidence that concomitant topical and oral therapy is more effective than topical therapy alone, some clinicians suggest that such a strategy may be warranted and is reasonable in severe cases or when patient also has candidal oropharyngeal or GI infection. Some clinicians recommend that an oral antifungal (e.g., oral nystatin †, fluconazole) be used concomitantly to treat possible coexisting intestinal infection (e.g., in those with diaper rash and thrush). Usually effectively treated with a topical antifungal (e.g., topical nystatin, miconazole, clotrimazole, ciclopirox). albicans in their intestines and infected feces appear to be an important source of the cutaneous infection however, exact role of GI colonization in development or recurrence of diaper dermatitis unknown. Many infants with candidal diaper dermatitis harbor C. Topical treatment of candidal diaper dermatitis. Topical treatment of cutaneous or mucocutaneous infections (e.g., intertriginous candidiasis, candidal diaper rash) caused by Candida albicans and other susceptible Candida. Written by ASHP.Īntifungal polyene antibiotic.
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