Oral Thrush | Right Decisions

Update your RDS mobile app to v4.7.1 to download toolkits even when website is down,

We are pleased to advise that deep linking capability, enabling users to directly download individual mobile toolkits, has now been released on the RDS mobile app. When you install the update, you will see that each toolkit has a small QR code icon the header area beside the search icon – see screenshot below. Clicking on this icon will open up a window with a full-size QR code and the alternative of a short URL for sharing with users. Instructions are provided.

You may need to actively install the update to install RDS app version 4.7.1 to see this improvement. Installing this update is also strongly recommended to get the full benefits of the new contingency arrangements – specifically, that if the RDS website should fail, you will still be able to download new mobile app toolkits.

To check your current RDS version, click on the three dots bottom right of the RDS app screen. This takes you to a “More” page where you will see the version number. To install latest updates:

On iPhones – go to the Apple store, click on your profile icon top right, scroll down to see the apps waiting to be updated and update the RDS app.

On Android phones – these can vary, but try going to the Google Play store, click on your profile icon top right, click on “Manage apps and device”, select and update the RDS app.

Please get in touch with ann.wales3@nhs.scot with any questions.

Micro Organisms

Candida albicans

Notes

Important: Therapy

Send scrapings for culture
Caution: significant drug interactions with fluconazole and miconazole - refer to BNF
Consider immune deficiency and testing for HIV

Notes:

First Line

Important: Therapy

Nystatin oral suspension, use 1ml as a mouthwash (then swallow) 6 hourly - usually for 7 days

Fluconazole 50mg oral once daily for 3 - 7 days

Continued for 48 hours after lesions have resolved

Immunocompromised:

Fluconazole 100mg oral once daily for 7 - 14 days

if interactions with other medication use nystatin

Notes:

Second Line

Important: Therapy

Miconazole oral gel, 2.5ml 6 hourly after food - continue for 7 days after lesions resolve.

(NB: interaction with warfarin)