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
