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Re: Pediatric Yeats Infections & triclosan and other anti-bacterails, should OTC drugs be used.

From: William McIntosh, MD (anonymous@obgyn.net)
Tue, 22 May 2001 09:23:14 -0500 (CDT)


At Tue, 22 May 2001, Stephen wrote: >
>My daughter was preccribed Augmnetin for a serious ear infection. After
>using the prescribed medication for over 15 days she developed what
>appears to be a yeast infection. The doctor told me not to use an OTC
>such as Gynolotrimin or Monistat but rather should be given a lot of
>yogurt, aqnd a sitz bath with vinegar. Beinag a male single parent of
>my 3and a half year old daughter, I refrained from trying the sitz bath.
>However tonight after her bath I tried using "Vaseline Intensive Care
>Anti-Bacterial Hand Lotion" applied only externally to the outer vaginal
>area. The active ingredient is Triclosan.
>
>Have I done something very bad. Should I wake her up now and give her
>another bath. She likes the yogurt and has been eating about 8-12
>ounces per day for about 3-4days now, and a whitish (perhaps yellow)
>patch is visible on her outer labia. What should I do. I allow her to
>wipe herself after urinating, and wonder how I should proceed to get rid
>of this infection. Does she need to see a specialist or is her normal
>pediatrician OK. Have I disturbed her "normal flora" in a very harmful
>way ? Should I try the sitz bath and if so, with what proportion of
>vinegar to water. What type of vinegar.
>
>Why doesn't the pediatrician simply tell me to use gynolotromin or
>monistat 7 are theses contraindicated due to her age ? Please advise ?

I am at a loss to understand why the doctor would advise you not to use Monistat. Use the cream, the Monistat 7. It will be safe and effective. Oral, or for that matter vaginal, yogurt is NOT an effective treatment for yeast infections, in children or adults.

--
William D. McIntosh, MD, FACOG

This is for educational purposes only, and is not a substitute for consultation and examination by a licensed medical professional.




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