Diaper dermatitis Flashcards

1
Q

What is the pathophysiology of diaper dermatitis?

A

Combination of things present in the diaper environment that reflect progressive barrier compromise

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2
Q

How does irritant diaper dermatitis present?

A

mild erythema, convex surfaces affected while skin folds are spared.

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3
Q

How does allergic diaper dermatitis present?

A

Grouped or linear vesicles and blisters. Marked edema in severe cases. Affected location is limited to area in contact with the allergen.

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4
Q

How does candidal dermatitis present?

A

Beefy red plaques with satellite pustules and early maceration of skin, usually painful especially when urinating/defecating and changing diapers
Skin folds almost always affected.

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5
Q

What are red flags of diaper dermaitis?

A
  • Pus, vesicles or ulceration
  • Frequent
  • Moderate/severe presentation
  • Rash outside the diaper area
  • secondary infection or UTI
  • behavioural changes
  • signs of abuse or neglect
  • immunocompromised
  • fails to improve despite 7 days of treatment or fails to resolve after 14 days of treatment
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6
Q

What are the ABCDEs of non-pharm strategies for diaper dermatitis?

A
A- air, absorptives
B- barriers
C- cleansing, compressing
D- diapers (change q3-4h)
E- education
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7
Q

When do we use hydrocortisone to treat DD?

A

If it’s predominantly inflammatory

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8
Q

When are barrier-only products used?

A

To prevent DD only

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9
Q

What are examples of barrier-only products? What is their dosage?

A

Ceramide based
Petrolatum
Silicone-based
Apply generously PRN

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10
Q

When do we use barrier-absorptive products?

A

To treat and prevent DD

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11
Q

What is an example of a barrier-absorptive product?

A

Zinc oxide; has astringent and antiseptic properties

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12
Q

What do we use to treat candidal diaper dermatitis?

A

Clotrimazole 1%, miconazole 2% or nystatin

topical antifungals

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13
Q

If an antifungal, corticosteroid and barrier product is required, which order should they be applied in?

A

Antifungal –>hydrocortisone –> barrier product

Application of each product should be separated by a few minutes

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