Nystatin – an effective antifungal drug Case series report
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Abstract
If there are unfavorable conditions or disease states, fungal infection may develop, most often Candida yeast, and inflammation of the digestive tract. Opportunistic infections in humans caused by Candida albicans and other related species can manifest in a wide variety of manifestations, ranging from oral thrush (most common) to fatal systemic infections in patients with risk factors. One of the most widely used polyene antibiotics is nystatin. Nystatin was the first antifungal antibiotic proven to be safe and effective in the treatment of fungal diseases in humans. It is a membrane-active polyene macrolide with fungistatic or fungicidal effect on yeasts and yeast-like fungi, depending on the concentration. Nystatin has several advantages: minimal side effects, high efficiency, lower cost than other antifungal drugs, and ease of use. The oral suspension form is used for the prevention or treatment of oropharyngeal candidiasis and superficial candida infection of the mouth and throat and in the case of Candida infection in the intestines and prophylactically in patients treated with high doses of antibiotics or corticosteroids. The article presents three clinical cases of nystatin use: an 11-month-old boy who received nystatin prophylactically during antibiotic therapy, a 12-day-old newborn with preventive use of the preparation, and a 63-year-old woman with oral candidiasis. In all cases, nystatin was found to be effective and safe.
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