What measures can be taken to prevent candidal infections?

Updated: Jan 17, 2020
  • Author: Richard Harold "Hal" Flowers, IV, MD; Chief Editor: Dirk M Elston, MD  more...
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Answer

Owing to rising resistance in numerous antifungal drugs and the existence of undesirable adverse effects, as well as a general desire to avoid disease, it is preferable to prevent rather than treat Candida infections. The largest factor in preventing cutaneous Candida infection is removing moisture from the skin. [68] Accordingly, skin should be kept dry through means such as the use of breathable materials when indicated and possible. For example, in a clinical trial with infants (age 3-15 months), the use of a breathable diaper as opposed to a traditional diaper diminished C albicans colony count by nearly two thirds. [68]

Additionally, as demonstrated in infants, the use antibiotics increases the risk of Candida infection, a phenomenon that the authors attribute to the change in the gut microbiome, and judicious antibiotic use could lessen the likelihood of infection. [69]


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