Robin,
I see resistant yeast when an original infection has not been thoroughly
and appropriately treated to begin with. Sometimes it is the mother's
lack of complicity, and sometimes it is the reluctance of attending
health care providers to prescribe anti-fungals recommended. Around here,
diflucan is pretty controversial, and some hcp's aren't satisfied with
the literature to date and will let a mother quit from pain first. I also
push the dietary changes and supplements, especially with severe/chronic
cases, to help change the balance of the body chemistry that is feeding
the yeast. What I do know is that if a mother quits the treatment too
soon or is under-treated and the symptoms return, they are harder to get
rid of. It also seems to be that Nystatin ointment used to be sufficient
for the  nipples, but often is no longer strong enough, hence the move to
the OTC's.  I do wonder if we are developing super-strains by not quite
completely eradicating the original yeast infections.

-Lisa

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Lisa A. Marasco, IBCLC                                /  [log in to unmask]
International Board Certified Lactation Consultant    /  [log in to unmask]

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