Wendy Oddy and colleagues published a great study recently in Australia 
on cultures of pink, sore nipples. They found staph in most of them, 
candida in very few. The treatment arm of the study found that 
antibiotics (oral) was most likely to clear the pain and pinkness, 
hygiene (washing with soap and water) also helped 30% of moms. Since we 
are having such poor results with yeast treatment, I strongly suspect 
they are right.
Any infection makes the skin more fragile, but I'd want to know what 
baby is doing with his tongue as well. Sometimes the tongue tip is 
thrusting against that cracked area.
Catherine Watson Genna, IBCLC  NYC

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