Childhood Conditions: Nappy Rash

Question 1

What are the two types of Nappy Rash

Answer 1

• Irritant Nappy Rash (barrier creams)
• Fungal Nappy Rash
  (anti-fungal)

Question 2

What is an Irritant Nappy Rash

Answer 2

• Erythmatous rash on buttocks

Question 3

What is a Fungal Nappy Rash

Answer 3

• Satellite rash
  (small red papules on the outer edge of rash)
• Rash concentrated in skin folds
  (between but and under cheeks)

Question 4

Nappy Rash Referral

Answer 4

• Broken skin
• Severe rash
• yellow crust/weeping (requires antibiotic)
• other areas of body affected
• OTC failure >1week

Question 5

OTC treatment for Nappy Rash

Answer 5

• barrier creams (protects skin, rehydrates and smooths skin0
  (Sudocrem)
• Anti-fungal preparations
  — Clotrimazole (Canesten)
  — Miconazole
  (Daktarin)

Question 6

Advice for Nappy Rash

Answer 6

• Change nappies as soon as they are soiled/wet
• Leave nappy off to allow for skin to breath and dry
• Avoided waterproof nappies, they worsen rash
• Wash nappy area thoroughly