Diaper Rash (171 Lab)

Question 1

Diaper Rash

Answer 1

• irritant contact dermatitis
• only affect areas where diarrhea splashes
• skin folds typically spared
• self-limiting –> episodes approx last 2-3 days

Question 2

Causes of diaper rash

Answer 2

• fecal/urine contact –> viral gastroenteritis –> harsh enzymes in diarhhea
• chemical residue
• chaffing
• antibiotic –> diarhhea as s/e
• Formula more problematic than breast milk

Question 3

Non-med tx of diaper rash

Answer 3

• change diapers as quickly as possible
• keep area clean
  Barrier products

Question 4

Tx of diaper rash

Answer 4

• keep clean
• barrier product
• allow air time
• steroid crm

Question 5

How to tell if diaper rash is yeast infected? How long to tx?

Answer 5

• If just diaper rash –> tx > 3 days
• If yest infected, <3 days and:
  a) Fiery red
  b) Vesicles/satellites
  c) skin folds now involved

Question 6

Oral Thrush and Diaper Rash

Answer 6

• oral Thrush - Yeast infection of the mouth –> if have with diaper rash, automatically fungal

Question 7

Med Tx of Diaper Rash Antifungals

Answer 7

• Clotrimazole 1%
• Miconazole 2%

BID 1 week + 1 week after clearing

Question 8

MD Referral

Answer 8

• No improvement in 7 days or resolve in 14 days

Question 9

Steroids

Answer 9

• HC 0.5-1% for 2 days

Question 10

Uninfected tx of diaper rash

Answer 10

• HC 0.5-1% BID X 1-2 days
• Barrier cream 4-5x per day everyday

Question 11

Infected tx of diaper rash

Answer 11

• Anti-fungal cream BID for 14 days
• HC 0.5-1% BID x 1-2 days
• BArrier cream 4-5x per day everyday

Question 12

order of application of tx

Answer 12

• Antifungal
• Steroid
• Barrier
• Wait 2-3 mins before each application
• DO not mix anti-fungal and corticosteroids