Diaper dermatitis

Question 1

what causes diaper derm

Answer 1

disruption of normal skin pattern due to skins contact with moisture, friction, urine, feces

Question 2

what are the 3 type

Answer 2

allergic
irritant
fungal

Question 3

signs and symptoms of irritant

Answer 3

shiny red patches in diaper region, NOT on the folds of the skin

Question 4

signs and symptom of cutaneous fungal infection

Answer 4

beefy red rash with papules and pustules - satellite lesions
red plaques
in folds of the skin

Question 5

risk factors

Answer 5

irritation and friction - bowel frequency
type of diaper used? - cloth and disposable both cause
comorbid condition - atopic dermatitis
chemicals - wipes
occlusion and humidty

Question 6

red flags

Answer 6

no improvement over a week or worsens
pus or signs of infection 
acute onset
systemic symptoms
N/V, fever, diarrhea

Question 7

goals of therapy

Answer 7

relieve symptoms
resolve dermatitis
prevent complications and recurrence

Question 8

non pharms

Answer 8

dry area by patting gently 
baby wipes that are alcohol and fragrance free
diaper changes
barrier product 
bath daily in luke warm water

Question 9

what are 3 water impermeable barriers

Answer 9

petrolatum
anhydrous lanolin
dimethicone

Question 10

what does zinc oxide do

Answer 10

mild antiseptic and astringent (drys) 
low concentrations (15%) for prevention 
high concentrations (25%) for treatment

Question 11

how cna you use a barrier product for prevention

Answer 11

with each diaper change

petrolatum or zinc oxide 15%

Question 12

how can you treat diaper derm

Answer 12

zinc oxide 25%

Question 13

how can you treat a candidal infection

Answer 13

apply antifungal twice daily for one week

apply before the barrier product

Question 14

treatment if all others ineffective

Answer 14

topical corticosteroid 0.5-1% three times daily for one week