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Tue, 28 Jun 2005 15:03:20 +0000 |
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The research you cite on treating both of the dyad when one has symptoms of
thrush might not be considered reason enough to say conclusively that both
SHOULD ALWAYS BE TREATED. I have seen many cases successfully resolve when
only one of the dyad was treated (whether it be mother or baby). I think a
professional discussion and agree to disagree is indicated here between the
LC and the pediatrician.
I can see the peds point of not wanting to give medication to an infant when
it may not really be necessary. It is good that a doctor is reluctant to
prescribe without there being a really good reason. It may be that in the
LC's experience she has seen many cases of thrush NOT RESOLVE unless both of
the dyad were treated and she could certainly share her experiences with the
doctor.
On a personal note, I had a bad case of oral thrush/vaginal yeast after
being hospitalized and on several antibiotics. The nystatin did virtually
nothing but the diflucan pills (I took one each day for 4 days) worked
great!
Laurie Wheeler, IBCLC, MN, RN
New Orleans Louisiana, s.e. USA
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