Common name: Diaper dermatitis, Napkin dermatitis, Nappy rash
Rashes are usually caused by irritation and infections that may either be bacterial, fungal, or viral. It commonly occurs in babies who have prolonged skin contact with the urine or stool in their diapers. Diaper rash can also be caused by the fungus Candida.
Breast-fed babies are less likely to experience diaper rash since the enzymes and other substances that irritate the skin is fewer in their stools.
Commonly Prescribed Drugs
- Topical or oral antifungals such as oral nystatin and imidazole cream, twice a day.
- Barrier creams or pastes that provide a physical shield to prevent contact of skin with urine and feces while allowing the skin to breathe. Drugs: Zinc oxide, titanium dioxide, and starch, or creams with dexpanthenol
- Anti-inflammatory topical steroid may be prescribed by a doctor if home remedies or non-pharmacological management does not clear up the rash. Low potency steroids used are applie not more than twice daily for a maximum of one week. Drugs: Hydrocortisone
- Antibiotics may also be given if a secondary bacterial infection occurs.