diaper rash

Etiology

• irritation from feces/urine
• allergic reaction to dyes on some diapers

Management

• barrier agents
  • flexible barrier film* coats affected area & allows vapor passage for up to 72 hours
  • ointments form an occlusive barrier & promote hydration but need to be reapplied after each episode of incontinence
    • zinc oxide
    • vitamin A & D ointment
    • lanolin
    • ointments containing petrolatum offer more protection
• topical antifungal agents (clotrimazole, miconazole, nystatin) may help if Candida infection
• topical steroids
  • severe rash
  • 1% hydrocortisone for up to 2 weeks
• cholestyramine ointment may help in refractory cases
  • 5%-10% cholestryramine/Aquaphor compounded by pharmacist
• prevention is best
  • frequent diaper changes
  • keep area dry
  • avoid talcum or corn starch powders (they may cause respiratory problems if inhaled)

* treatment of choice in demented patient

More general terms

• dermatitis