Candida

Cutaneous: genital, perineal, flexural, paronychia, angular cheilitis

  • Clotrimazole 1% cream
  • Miconazole cream

Oral

  • Adults and children > 2years: Nystatin 4-6mL qds po, usually for 7 days - continue for 48 hours after clinical cure, if signs and symptoms persist beyond 14 days re-evaluate
  • Infants 1month-2 years: Nystatin 1-2mL qds po, usually for 7 days - continue for 48 hours after clinical cure, if signs and symptoms persist beyond 14 days re-evaluate
  • Neonates birth-1 month: Nystatin 1mL tds po, usually for 7 days - continue for 48 hours after clinical cure, if signs and symptoms persist beyond 14 days re-evaluate

OR

  • Adults and children > 2years:  Miconazole oral gel 2.5mL qds po - treatment should be continued for at least 7 days after lesions have healed or symptoms have cleared
  • Children > 4months - 2 years: Miconazole oral gel 1.25mL qds po - treatment should be continued for at least 7 days after lesions have healed or symptoms have cleared
  • Miconazole oral gel is contraindicated in infants less than 4 months of age or in those whose swallowing reflex is not yet sufficiently developed

Oesophageal candida suspect immunosuppression requires oral antifungal. Seek microbiology advice.


Reviewed October 2018