Daily Bolus of LR: Diaper Rash

Leave a comment

October 6, 2011 by dailybolusoflr

Diaper Rash


·         Diaper rash typically is used as a catch all phrase to describe both contact dermatitis as well as true Candida superinfection.


·         Contact dermatitis is caused by moisture, elevated ammonia and pH, chaffing and tight fitting diapers with little breathability.  It is usually easy to treat with good barrier treatment (such as desitin, balmex or triple paste), frequent diaper changing, and leaving the baby bare bottomed as often as possible.


·         When diaper rash has been present for greater than 2-3 days without improvement, one should suspect Candida superinfection even if other evidence of the hallmark signs of Candida are not present.


·         Hallmark signs of Candida include intensely raw, red areas, presence of satellite issues, and white exudates.


·         Topical treatment with antifungal cream applied for two days usually does the trick, but if the rash is severe oral treatment with nystatin should be used.   Avoid steroid creams as this can make the Candida infection worse.


·         You can see images here:   http://hardinmd.lib.uiowa.edu/dermnet/diaperrash6.html



Ref: Buttaravoli and Stair. Minor Emergencies



Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s

%d bloggers like this: