Childhood Conditions: Oral Thrush

Question 1

What is Oral Thrush

Answer 1

white patches on tongue and mucosal surfaces inside mouth

(raw and sore underneath)

common in babies

Question 2

Oral Thrush Referral

Answer 2

• Refer all apart from babies (unless taking steroid inhalers)
• Recurrent infection
• OTC treatment failure (>1week)

Question 3

OTC treatment for oral thrush

Answer 3

Daktarin oral gel (apply 4 times a day after meals)

at least 4 months and 1 week after symptoms gone

Question 4

Which medication interacts with Miconazole to increase risk of bleeding

Answer 4

Warfarin

Question 5

Advice for oral thrush

Answer 5

• If taking high dose ICS, encourage use of spacer and mouth rinsing after use
• If breastfeeding, apply miconazole to nipple and wipe away before feeding