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

From: anon (anonymous@obgyn.net)
Wed, 23 May 2001 09:48:29 -0500 (CDT)


At Tue, 22 May 2001, William McIntosh, MD wrote: >
>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.
>>I THINK you should see another doctor or even a gynecologist to ask at least BE CAREFUL if you use the monistat creams you could hurt her she is only 3 and I'm sure she has her hymen intact!!! To avoid traumatizing the sweet little one call a gynocologist about it she may be able to take a low dose oral med for it!!!!
>>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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