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Oral thrush — RACP Paediatrics MCQ

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EasyIDOral thrushRACP Paediatrics

A 4-week-old breastfed infant has white patches on the buccal mucosa and tongue that do not wipe off easily. The infant is feeding well and is otherwise healthy. What is the most appropriate treatment?

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Correct answer: C — Oral nystatin

Oral thrush (oral candidiasis) in a well infant is treated with oral nystatin suspension (1 mL applied to each side of the mouth after feeds, 4 times daily for 7-14 days). If the mother is breastfeeding, concurrent treatment of nipple candidiasis with topical antifungal should be considered.

Reference: Australian Therapeutic Guidelines – 2024 – Antibiotic; RCH Melbourne – 2023