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What is Candida diaper rash and thrush?

Candida is a fungus that causes an infection of the skin or mouth. The Candida fungus is present in the intestines of many people without causing any illness. Infection of the mouth is called thrush. Thrush is a common infection in young children who are in diapers. It may occur after treatment with antibiotics for some other infection. Young infants and children may develop a rash in the mouth or on the skin if large numbers of Candida are present or if the skin is damaged.

What are the symptoms?

Thrush can be recognized because it appears as a whitish-grey coating on the tongue and on the insides of the cheeks and gums. The coating is not easy to wipe off with a cotton swab and vigorous attempts may leave a bleeding, raw surface. In severe cases, the mouth may be so sore that the infant finds it painful to suck. Most infants do not have any difficulty, pain or complications with thrush. Candida diaper rash tends to be found in the deepest part of the creases in the groin and buttock. The rash is usually very red with a clearly defined border and small red spots close to the large patches.

How are they treated?

Candida infections can be cured with medication prescribed by a physician. Candida diaper rash is treated with an ointment applied to the skin.

What can parents do?

• If you suspect your child has a Candida infection, contact your physician in order to have the diagnosis confirmed.
• Make sure you follow the directions and other recommendations if the physician prescribes medication.
• If your child has thrush, regularly sanitize the bottle nipples and soothers by boiling them for ten minutes.
• If your child has Candida diaper rash, during diaper changes wash the child's diaper area with mild soap and warm water then rinse and dry. Apply the prescribed ointment to the rash. Wash your hands and your child's hands carefully after the diaper change.
• If your child has thrush or Candida diaper rash, he or she may continue attending childcare facilities if they are feeling well enough to take part in the activities.

For more information please call Public Health at 519-376-9420 or 1-800-263-3456.