What should the parents of an infant with thrush (oral candidiasis) be taught about medication administration?

a.
Give nystatin suspension with a syringe without a needle.
b.
Apply nystatin cream to the affected area twice a day.
c.
Give nystatin just before the infant is fed.
d.
Rub nystatin suspension onto the oral mucous membranes with a gloved finger after feedings.

ANS: D

It is important to apply the nystatin suspension to the affected areas, which is best accomplished by rubbing it onto the gums and tongue, after feedings, every 6 hours, until 3 to 4 days after symptoms have disappeared. Medication may not reach the affected areas when it is squirted into the infant’s mouth. Rubbing the suspension onto the gum ensures contact with the affected areas. Nystatin cream is used for diaper rash caused by Candida. To prolong contact with the affected areas, the medication should be administered after a feeding.