This is a fungal infection of the buccal mucosa caused by Candida albicans. It mainly affects the very young, the very old or those whose immunity is impaired. It occurs more frequently in HIV/AIDS patients, the malnourished, diabetics, patients on long term antibiotics and corticosteroids.
SYMPTOMS/SIGNS
• White patches on the tongue, cheeks or roof of the mouth which can be wiped off leaving a raw surface
• Difficulties in eating, breast fed babies may refuse to suck.
• Burning sensation in the mouth
TREATMENT
• Treatment objectives
• To eradicate infection
• To identify and treat any underlying condition
Pharmacological Treatment
(Evidence rating: B)
Adults: |
Instruct the patient to suck Nystatin, oral, 100,000 units 4 times daily after food for 14 days. |
Children: |
Give Nystatin oral suspension, 2 drops (100,000 units) in the mouth 4 times daily after each feed for at least 10 days. Make sure it is spread well in the mouth. Alternatively use Miconazole oral gel 2.5 ml smeared on the oral mucosa using the finger. |
