Thrush
Thrush
Thrush is a fungal (yeast) infection of the mouth.  Infants usually get thrush from the following sources:  mother's vagina during birth, other infants, adult with a vaginal yeast infection, his or her own yeast diaper rash, and as side effects of some antibiotics.



Often there are no symptoms, but the infant may have trouble feeding and swallowing in severe cases.  White patches like milk curds are seen on the tongue and mouth, or the entire tongue may have a solid white coating.  A diaper rash caused by yeast is often seen at the same time.



There can be feeding problems due to pain.  The yeast infection can also be spread to the diaper area.  There can be spread of infection to other infants in the nursery or home.  Mom can develop an infection of her nipples as a result of breastfeeding an infant with thrush.
Definition and Causes
Symptoms of thrush
Complications
Treatment
The baby needs to be seen by a doctor or other health care professional and given a prescription for medication to treat thrush.

All caretakers should wash their hands carefully before nursing, feeding, or handling the infant.

Offer water after each feeding to cleanse the mouth.

Wipe the gums and teeth (if present).

Boil bottles and their nipples for at least 5 minutes after thoroughly washing them.

If a caretaker has a vaginal infection, it needs to be treated.

If the infant has or develops a diaper rash, it should be treated.

Give the medication after feedings.  Drops should cover the inside surfaces of the mouth, not merely pass down the throat.  The infant should swallow all medicine placed in the mouth.

Wash the medicine dropper with hot, soapy water after each use.

If breastfeeding and nipples become sore, lightly apply the medication prescribed by the doctor for the nipples after each feeding.

If the child is on antibiotics, it may be difficult to cure thrush until the antibiotics are discontinued.



Use good handwashing technique.

Identify the potential sources of infection:  Mom, contaminated nipples, pacifiers, bottles, etc.

Wash items often that will go in baby's mouth.

Do not permit children to share pacifiers, nipples, or toys that will be put in the mouth.
Prevention
Thrush lesions resemble milk curds
Other topics