Dermatitis, diaper

  • Inflammation of the skin most often affecting the skin around the groin area
  • Symptoms may include a skin rash over the affected area that may be painful, itchy and red
  • Caused by prolonged exposure to irritants such as urine, stool or yeast infections
  • Cannot be spread from person to person
  • Affects males and females
  • Can occur at any age but more common in those who wear diapers such as infants and elderly
  • May be mild to severe

GENERAL THERAPY

 

  • Keep skin dry
  • Change diaper every time it gets wet or soiled
  • Change diaper every 2 to 3 hours
  • Gently wash area with warm water and soft cloth, dry completely
  • Limit use of soap to soiled areas
  • Do not use plastic pants
  • Give more fluids to decrease urine concentration

 

If severe rash:

  • Soak in warm bath for 10 minutes, 3 times a day
  • Let baby go without diaper for 5 to 10 minutes after each change

 

Over-the-counter medicines (refer to manufacturer’s recommendations for dosage):

  • Topical creams
  • Petroleum jelly
  • Zinc oxide
  • Anhydrous lanolin

 

PRECAUTIONS AND AVOIDANCES

  • Wash hands before and after each change
  • Rinse diaper twice when washing
  • Use 30 ml (1 ounce) vinegar in final rinse when washing with 5 L (1 gallon) of water
  • Do not use adult yeast medicine on baby or child
  • Do not use baby powder
  • Do not use corn starch
  • Do not use bleach or fabric softeners

 

SEEK MEDICAL ASSISTANCE IF:

  • Rapid spread of rash and fever
  • Rash does not get better in 4 to 7 days
  • Rash gets significantly worse or spreads
  • Rash with pus-like drainage or yellowish colored crusting
  • White patches appear in mouth

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