The topic at hand is about managing a yeast infection near the stoma, which can be a common concern for those with an ostomy. The discussion revolves around whether antifungal creams or powders are more effective in treating such infections. Here are some shared experiences and tips from others who have dealt with this issue:

1. Crusting Method with Nystatin Powder:
- Start by cleaning the area with soap and water, followed by Domeboro soaks.
- Lightly dust the area with Nystatin powder and tap off any excess.
- Seal the area with a skin-barrier wipe or spray, let it dry, and then repeat the powder and barrier wipe process once more.
- If possible, change the appliance daily and repeat this process until the rash clears. More frequent changes can help prevent the infection from coming back.

2. Powder and Barrier Sheet Approach:
- Apply antifungal powder, then use a skin-barrier spray.
- Place a hydrocolloid barrier sheet, sometimes referred to as "fake skin," between the skin and the flange to keep the area dry.
- Some have found success with an inhaler prescribed by a physician, used off-label and sprayed directly on the rash.

3. Povidone-Iodine Treatment:
- Thoroughly clean the area and apply Povidone-Iodine, such as Betadine, to quickly kill pathogens before fitting a new pouching system.

4. Witch Hazel and Lamisil Powder Routine:
- After changing the appliance and cleaning the area, spray witch hazel and allow it to dry.
- Dust the area with Lamisil powder, discontinuing the use of Nystatin creams or powders.
- Fit a new two-piece appliance and change it daily until the fungal rash resolves. Daily changes help reduce moisture and perspiration, which can encourage fungal growth.
- Consider using oral or ingested antifungal products for additional support.

These methods have been shared by others who have faced similar challenges, and they might offer some helpful insights for managing a yeast infection near the stoma.