Nappy rash

Question 1

Nappy rash

Answer 1

Caused by friction from tight nappies or prolonged contact with wet or tight nappies

Question 2

Nappy rash symptoms

Answer 2

Red rash on buttocks - this is an irritant nappy rash

A secondary fungal infection may occur:
this appears as red papules on the outer edge of the rash between buttocks and beneath the cheeks

Question 3

Nappy rash referral

Answer 3

Yellow crusts, weeping skin = infection

Broken skin

Other body parts affected, this may be atopic eczema

OTC treatment that does not respond after 1 week

Question 4

Nappy rash OTC treatment

Answer 4

Barrier preparations - forms a protective layer over the skin

e.g Sudocream, Metanium

If there are signs of a fungal nappy rash:
Clotrimazole (Canasta)
Miconazole (Daktarin)
Apply for 7 days after the skin has cleared to prevent recurrence

Question 5

Skin care and nappy hygiene

Answer 5

Change nappies as soon as they are soiled or wet

Leave nappy off to allow skin to air dry

Avoid waterproof nappies as they prevent the evaporation of moisture