TREATMENT PLAN

TREATMENT PLAN

Immunocompetent:

• First line: Miconazole topical 14 days (if ≥4 months old)
• Avoid miconazole if on statins, use nystatin
• Alternative: Nystatin 7-14 days (unlicensed <1yr)

If topical ineffective/severe/immunosuppressed:

• Oral fluconazole 14-21 days (if ≥16 years)
• Monitor hepatotoxicity if >21 days (also think about referral and taking swabs)
• Children <16 cannot use oral fluconazole – only use topical treatments
• For children, refer if topical treatments are not tolerated

Severe cases:

• Consider admission if widespread/systemic symptoms