Nappy Rash Flashcards
What is nappy rash?
Contact dermatitis in nappy area
Risk factors for nappy rash
Delayed changing of nappies
Irritant soap products and vigorous cleaning
Certain types of nappies (poorly absorbent ones)
Diarrhoea
Oral antibiotics predispose tocandida infection
Pre-term infants
Clinical features of nappy rash
Sore, red, inflamed skin in the nappy area
Rash is individual patches
Tends to spare skin creases, meaning creases in the groin are healthy
May be a few red papules beside the affected area
Uncomfortable, may be itchy, infant may be distressed
What can long-standing nappy rash lead to?
Erosions and ulceration
Management of nappy rash
Switching to highly absorbent nappies (disposable gel matrix nappies)
Change the nappy and clean the skin as soon as possible after wetting or soiling
Use water or gentle alcohol free products for cleaning the nappy area
Ensure the nappy area is dry before replacing the nappy
Maximise time not wearing a nappy
Sings pointing to candida infection (over nappy rash)
Rash extending into the skin folds
Larger red macules
Well demarcated scaly border
Circular pattern to the rash spreading outwards, similar to ringworm
Satellite lesions, which are small similar patches of rash or pustules near the main rash
Management of candida/bacterial infection
Treatment with an anti-fungal cream (clotrimazole or miconazole) or antibiotic (fusidic acid cream or oral flucloxacillin)
Complications of nappy rash
Candida infection
Cellulitis
Jacquet’s erosive diaper dermatitis
Perianal pseudoverrucous papules and nodules
