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Oral candidiasis primary prevention

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Ahmed Younes M.B.B.CH [2]

Overview

Good oral hygiene practices may help to prevent oral thrush in people with immunosuppression. Some studies have shown that chlorhexidine (CHX) mouthwash can help to prevent oral candidiasis in people undergoing cancer treatment. People who use inhaled corticosteroids may be able to reduce the risk of developing thrush by washing out the mouth with water or mouthwash after using an inhaler.

Primary prevention

  • Some studies have shown that chlorhexidine (CHX) mouthwash can help to prevent oral candidiasis in people undergoing cancer treatment.
  • People who use inhaled corticosteroids may be able to reduce the risk of developing thrush by washing out the mouth with water or mouthwash after using an inhaler.
  • Continuous prophylactic fluconazole use is more effective than intermittent use in response to relapses.[1]

References

  1. Pappas PG, Kauffman CA, Andes D, Benjamin DK, Calandra TF, Edwards JE; et al. (2009). “Clinical practice guidelines for the management of candidiasis: 2009 update by the Infectious Diseases Society of America”. Clin Infect Dis. 48 (5): 503–35. doi:10.1086/596757. PMID 19191635.

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