In our NICU  we use fresh breast milk whenever possible if the mother or
baby has a yeast infection.  However, we feel that human milk is too
valuable to be thrown out unless the mother has such an abundant supply that
we can afford to do it.  If we have to give the baby thawed milk which is
suspected to contain yeast, we give the baby prophylactic Nystatin and use
the "iffy" milk while the baby is on it.   We have done this in four or five
cases in the last couple of years and have not had the baby reinfected.
NOTE:  These babies were not critically  ill at the time the milk was used,
and had no history of candidal sepsis.

P.S. I thought that if the baby has yeast in the mouth, the bowel is
probably colonized also, even if the rash does not appear on the baby's
bottom, and vice versa.   Is this not correct, oh wiser people than I?
Deanne
NICU

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