Family Nurse Practitioner Exam

What should be the first-line treatment in children with balanitis?

1. Antibiotics

2. Topical antifungals

3. Oral steroids

4. Incision and drainage

The correct answer is: Topical antifungals

The first-line treatment for balanitis in children typically involves the use of topical antifungals. Balanitis is often caused by a fungal infection, particularly in cases associated with conditions like candida. Topical antifungal agents are effective in directly targeting the infection while minimizing systemic side effects that can arise from oral medications. Using topical antifungals as a first-line treatment allows for localized application, addressing the underlying cause of the condition with fewer complications. Moreover, the safety and ease of application make them suitable for pediatric patients, ensuring compliance with the treatment regimen. In contrast, antibiotics may not be effective if the balanitis is primarily fungal rather than bacterial, while oral steroids are generally not indicated as a first-line therapy for infections due to the potential for exacerbating the underlying issue. Incision and drainage are typically reserved for cases involving abscess formation, which is not common in most balanitis presentations.