Some studies have indicated that preventing diaper rash may be done by applying barrier creams like zinc oxide (A+D Ointment, Desitin, Diaparene) or petroleum jelly (Vaseline, Aquaphor) to the diaper area after bathing. These products may help to decrease the ambient moisture in the diaper area after bathing or changing a diaper. Gentle cleaning to minimize skin breakdown may also be helpful. Air exposure (for example, no diaper) is also therapeutic.
An overgrowth of candida albincans---the fungus responsible for yeast infections---can lead to vaginal yeast infections and also thrush in the breastfeeding mother. Found in the vagina, nipples, mouth and baby's diapered area, candida albicans thrives in moist, dark environments. Though candida albicans is always present in the body, illness, pregnancy or antibiotic use can cause an surplus of this yeast. When a nursing mother develops a yeast infection, chances are this infection will be present in other ares of the body, such as the nipples, which can lead to an infection in baby as well.
A: It sounds like your baby may have a yeast infection diaper rash, which can happen if a mild diaper rash gets infected with yeast. This is especially likely if your baby recently took antibiotics. If your baby's had the rash for more than a few days and go-to diaper rash treatments (like Desitin or A+D ointment) haven't helped clear it, call your pediatrician. You'll probably need an anti-fungal cream (there are over-the-counter and prescription versions, but you shouldn't use them without your doctor's approval), which usually helps beat the rash quickly. Your baby should also be evaluated to make sure it isn't something more aggressive than diaper rash.
Caregivers can reduce yeast in the vaginal area by keeping the area clean and dry. This may not be enough to cure the infection but it is important in fighting it and preventing future infections. Always wipe the baby from front to back to keep infectious agents found in feces away from the vagina. This not only includes yeast but also harmful bacteria. Keep the baby as dry as possible by changing soiled diapers often. Bathe the baby in a warm bath with two to three tablespoons of baking soda or colloidal oatmeal to reduce irritation caused by the yeast infection.
Vaginal yeast infections are typically treated with topical antifungal agents. A one-time dose of fluconazole is 90% effective in treating a vaginal yeast infection. For severe nonrecurring cases, several doses of fluconazole is recommended. Local treatment may include vaginal suppositories or medicated douches. Other types of yeast infections require different dosing. Gentian violet can be used for thrush in breastfeeding babies. C. albicans can develop resistance to fluconazole, this being more of an issue in those with HIV/AIDS who are often treated with multiple courses of fluconazole for recurrent oral infections.
Probiotics are "good" bacteria that help regulate "bad" bacteria and fungus, such as yeast, inside the body. Yogurt contains lactobacilli, a healthy bacteria. When an infant is old enough to eat soft foods, a caregiver can offer a small serving of yogurt on a daily basis to help restore the infant's vaginal flora. The flora is the normal bacteria and fungal balance in the vagina. Ask a health care provider about using a probiotic drink or powder with an infant. These are available at health food stores and some pharmacies but the dosing amount should be determined by a qualified health care provider.
A small percentage of women (less than 5 percent) develop recurrent vulvovaginal candidiasis (RVVC), defined as four or more symptomatic vaginal yeast infections during a 12-month period. Although RVVC is more common in women who have diabetes or problems with their immune system, most women with RVVC have no underlying medical illness that would predispose them to recurrent candida infections.
Symptoms of vaginal candidiasis are also present in the more common bacterial vaginosis; aerobic vaginitis is distinct and should be excluded in the differential diagnosis. In a 2002 study, only 33% of women who were self-treating for a yeast infection actually had such an infection, while most had either bacterial vaginosis or a mixed-type infection.
A vaginal yeast infection, which is also sometimes called vulvovaginal candidiasis, happens when the healthy yeast that normally lives in your vagina grows out of control. It often leads to itching and other irritating symptoms. The medical name for a yeast infection is "candidiasis," because they’re usually caused by a type of yeast called candida.