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You are here : AllRefer.com > Health > Diseases & Conditions > Diaper rash : Treatment & Expectations

Diaper rash

Alternate Names : Dermatitis - diaper and Candida, Candida-associated diaper dermatitis, Diaper dermatitis

Treatment

The best treatment for a diaper rash is to keep the diaper area clean and dry. This will also help prevent new diaper rashes.

  • Always wash your hands after changing a diaper
  • Ask your doctor if a diaper rash cream would be helpful. Zinc oxide or petroleum jelly-based products help keep moisture away from baby's skin when applied to completely clean, dry skin
  • Avoid using wipes that have alcohol or perfume. They may dry out or irritate the skin more
  • Do NOT use corn starch on your baby's bottom. It can make a yeast diaper rash worse
  • Do NOT use talc (talcum powder). It can get into your baby's lungs
  • Change your baby's diaper often, and as soon as possible after the baby urinates or passes stool
  • Lay your baby on a towel without a diaper on whenever possible. The more time the baby can be kept out of a diaper, the better
  • Pat the area dry or allow to air-dry
  • Put diapers on loosely. Diapers that are too tight don't allow enough air and may rub and irritate the baby's waist or thighs
  • Use water and a soft cloth or cotton ball to gently clean the diaper area with every diaper change. Avoid rubbing or scrubbin the area. A squirt bottle of water may be used for sensitive areas
  • Using highly absorbent diapers helps keep the skin dry and reduces the chance of getting an infection

If you use cloth diapers:

  • Avoid plastic or rubber pants over the diaper. They do not allow enough air to pass through
  • Do NOT use fabric softeners or dryer sheets. They may make the rash worse
  • When washing cloth diapers, rinse 2 or 3 times to remove all soap if your child already has a rash or has had one before

MEDICATIONS:

Topical antifungal skin creams and ointments will clear up infections caused by yeast. Nystatin, miconazole, clotrimazole, and ketaconazole are common ones.

Sometimes a mild, topical corticosteroid cream may be used. Talk to your doctor before trying this on your baby.

Prognosis (Expectations)

The rash usually responds well to treatment.

Complications

Complications from Candida-associated diaper rash can include:

Calling Your Health Care Provider

Call your health care provider if:

  • The rash gets worse or does not go away in 2-3 days
  • The rash spreads to the abdomen, back, arms, or face
  • You notice pimples, blisters, ulcers, large bumps, or pus-filled sores
  • Your baby also has a fever
  • Your baby is taking an antibiotic and develops a bright red rash with spots at its edges. This might be a yeast infection
  • Your baby develops a rash during the first 6 weeks of life



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Review Date : 8/2/2009
Reviewed By : Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

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