Cochrane Summaries

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Topical treatment for vaginal candidiasis (thrush) in pregnancy

Young G, Jewell D
Published Online: 
28 February 2013

Imidazoles are best but pregnant women may need longer (7 not 4 day) courses. Thrush is a common vaginal infection in pregnancy causing itching and soreness. There is no evidence that this yeast infection harms the baby. Antifungal creams are effective. Imidazoles (such as clotrimazole) are more effective than older treatments such as nystatin and hydrargaphen. Longer courses (7 days) cured more than 90% of women whereas standard (4 day) courses only cured about half the cases.

This record should be cited as: 
Young G, Jewell D. Topical treatment for vaginal candidiasis (thrush) in pregnancy. Cochrane Database of Systematic Reviews 1996, Issue 1. Art. No.: CD000225. DOI: 10.1002/14651858.CD000225
Assessed as up to date: 
1 July 2001