Diseases in Children

Thrush in infants

Thrush - is clinical candidiasis.The fungal disease that affects the mucous membranes, skin, nails, internal organs.It is caused by fungi of the genus Candida yeast (Candida).The disease is called "thrush" for the reason that when it is within the mucous covered with white bloom, like milk, are also formed spin-off, vaguely reminiscent of curd.

Newborns often appear oral candidiasis - yeast, which covers the mucous membranes of the oral cavity.

What are the symptoms of oral candidiasis in children?

In mild form of the disease can be seen as white plaque grains.Plaque located in some areas of the mouth, palate, and often - on the tongue and cheeks.Plaque can be easily removed, no breath.

At moderate form of candidiasis, plaque - cheesy or membranous, on a bright red base, which covers the cheeks, tongue, palate and lips.It can not be completely removed, the surface of the mucous membrane of the mouth is bleeding.

severe disease.Plaque as a film completely covers the mucous lining of the mouth, to

ngue, cheeks, gums, palate, nasopharynx, lips.When scraping is removed only a small portion of this plaque is retained white film, permanently attached to the affected mucosa.

In severe disease the kids become restless, sucking process deteriorates.

Candidiasis can affect not only the mucous membranes of the mouth, but the skin of the perineum, inguinal, mezhyagodichnoy folds, intestines.Perhaps the development of vulvovaginitis (inflammation of the genital organs, vaginal mucosa).

most common pathogen - Candida albicans.Moreover, the carrier can be a perfectly healthy person.But more often, Candida albicans occurs in pathological conditions.

Most colonization of the causative agent - in the colon.Candida albicans is present in the vagina in ten - thirty percent of healthy women.Number of fungus appears above normal during pregnancy, oral contraceptives, and if a woman is sexually active.

Candida albicans is not a typical representative of the microflora of the human skin, normally it can only appear in the mucous membranes.Toddlers yeast may cause not only Candida albicans, and other members of the fungi Candida.Special hazards Candida glabrata and Candida krusei, because they have a resistance to one of the main drugs used to treat candidiasis - fluconazole.

What if the baby showed symptoms of thrush?

When the first symptoms of thrush should consult a specialist, because it is better to determine the causes of this process.Thrush may "signal" of another disease, the symptoms of which are defined only by a doctor during the examination of the child.Treatment should also determined by the physician, taking into account the individual characteristics of the child, possible allergies, pathology, as well as the administration of other drugs.Candidiasis often treated with a single treatment of the affected area - insufficient.Because that other form of manifestation of the disease, for example, vaginal or intestinal candidiasis.To diagnose intestinal candidiasis can be coprogram (the study of feces), and the analysis of fecal bacteria overgrowth.The appearance of the baby vaginal candidiasis can be judged by the symptoms that appear on the external genitals.It is the presence of swelling, redness, dryness of the mucous membrane of the labia, clitoris, and so on, as well as the emergence of extensive erosion.Also of vaginal candidiasis can be seen, with the results of microscopic and bacteriological studies on fungi species Candida.To treatment had a positive effect, requires a systematic reception of special preparations.The dose amount and timing of taking the drugs only defines specialist.

If thrush has a mother, she is likely to be passed to the kid.Therefore, you must carefully examine the woman for the presence of yeast.

diagnosis of candidiasis.

oral candidiasis usually can diagnose using clinical data.Thus it is possible not to carry out additional mycological investigation.The fact that the diagnosis is correct, may confirm and local therapy of the disease.

determine the presence of candida is possible on the basis of clinical status, microscopic studies and cultures, serological tests.The method of microscopic examination helps to identify cells and strands of fungi Candida.In the study of experts carried out a scraping from a mucous.A material obtained by scraping, observed under a microscope.

bacteriological seeding helps to determine the number of fungal colonies, the type of fungus susceptibility to drugs in which the disease being treated.On the impact of the fungus colonies using anti-fungal drugs, and watching to see how effective the drug.

Such a study is required to spend if the treatment is ineffective thrush.In this case, the probability that the fungus is not sensitive to the drug.

serology (blood serum investigated antibodies).We investigate the fixation of DGC with yeast antigens.With this study can detect antibodies to Candida fungi.

treatment of thrush.

What is most important in the treatment?It is necessary to locate and remove the factors which led to the development of the disease.If we are dealing with the initial, localized forms of the disease, it is necessary to conduct only local treatment.When it foci irrigate antifungal drugs.

fungus also affected areas cleaned with a sterile cotton swab that is moistened in a solution of potassium manganese-acid aqueous solution of borax, two percent aqueous solution of soda (a teaspoon of baking soda in a glass of water), two percent solution of tannin, a one percent solution of hydrogen peroxide.After this treatment, lubricate the mouth, or rather, the affected areas of the mucous, a solution of aniline dyes, which include gentian violet, silver nitrate, iodinol, lugol.Each substance is diluted with water in its proportions, here it is better to consult a specialist.Repeat procedure should be every two to three hours.

Another method of treating the oral cavity - with an aqueous suspension or nystatin levorin, which is easy to prepare their own.A tablet formulation crushed and mixed with water in certain proportions.For levorin it - one hundred thousand units.five ml of water (required boiled), and for Nystatin - two hundred and fifty thousand. units of five ml of water.Treatment of these suspensions is carried out every six hours.

pimafutsin suspension.This suspension of mucosa is treated from four to six times a day, despite how widely defeat infection.Clotrimazole solution is also used, about two to three times per day.

Handle lesions kids need to gently, without coarseness and pressing, making sure that the child swallowed a cotton ball or cotton inhaled.It is not necessary to make these manipulations as soon as crumb eaten, it can only provoke vomiting.If you are breast-feeding.After each feeding wash and treat breast nipples soda solution, made in the same proportion: one teaspoon of baking soda to one cup of boiling water.It is also possible to process nipples herbal extracts, such as eucalyptus, chamomile and so on.Process and nipples should be before feeding your crumbs.If a baby has thrush is found, it is best to boil any thing a child can pull in the mouth.

treatment is best done before a full recovery, but not less than fourteen days after the symptoms have disappeared - there is no guarantee that the infection has disappeared completely.The decision to extend the period of treatment - for your health care.

In our time, the most effective treatment for thrush in babies - is the use of fluconazole inside the mouth.Formulations containing fluconazole can be named dilyukan, Diflazon and so on.Initial dose - 6 mg per kg, more take 3 mg per kg body weight.It is possible to use the powder for injection.It is very convenient because it can be mixed with water or milk.Let's medicine with crumbs tsp parallel lubricating areas of the mouth, fungal infection.If the treatment of the crumbs you use fluconazole, the treatment is reduced to three - five days.

If your baby - a severe form of candidiasis and the effects of the treatment is not necessary to put the child in the hospital.You may need treatment antifungal drugs that are administered intravenously.

Deviations are possible in this disease.

Infectious diseases suffered by babies, characterized by the fact that they can quickly spread to other organs.Even in infants (girls) may develop vaginal candidiasis defeat.Danger vulvovaginal obvious, because girls are very delicate mucous.It is even possible fusion of the genital organs crumbs.Then the solution is only possible with the help of a surgeon, and surgery.So Mom, you should regularly check the status of their genitals crumbs for redness, discharge characteristic of the yeast.It is known that in the context of candidiasis may develop other extremely dangerous processes, for example, the development of sepsis.It is an infectious disease caused by the fact that the fungus spread to the blood and lymph, and then - in other organs and tissues.Therefore, the prevention of thrush should be approached with great responsibility.Better when the process is detected at an early stage when it is possible to effectively and promptly treated.Complications can occur if a bacterial infection has spread to the organs of the gastrointestinal tract.

If time does not help the child with oral candidiasis, it can become chronic, periodically will relapse.The kid may refuse food may be disturbed sleep.And as a result - the baby becomes very irritable.The protective function of the body is changing crumbs, can develop a variety of allergic reactions.In such a case develops a predisposition to a rather unpleasant diseases, for example such as bronchial asthma.

author of the publication: Margarita Shiryaev