← Back to Special Medical Considerations

Oral Fungal Infections

Protocol Summary

Identify cause (immunosuppression, antibiotics, poor hygiene). Topical antifungals for mild cases (Nystatin, Clotrimazole). Systemic antifungals (Fluconazole) for moderate to severe.

Medications

Medication Adult Dosage Pediatric Dosage Duration (Days) Type
Nystatin 100,000 units/mL, 4-6 mL swish 4x/day 100,000 units/mL, 1-2 mL per side 4x/day 7-14 daysFirst-line Topical
Clotrimazole 10 mg lozenge, 5x/day for 14 days Not typically used in young children Topical Alternative
Fluconazole 200 mg day 1, then 100 mg daily for 7-14 days 6 mg/kg day 1, then 3 mg/kg daily for 7-14 days 7-14 daysFirst-line Systemic

Management Approach

Mild Cases (Localized Thrush)
Moderate to Severe Cases
Risk Factors to Address