Nappy rashes

Question 1

Types of nappy rashes

Answer 1

Irritant dermatitis
Candida dermatitis
Seborrheic dermatitis
Psoriasis
Atopic eczema

Question 2

Scalded rash sparing flexures

Answer 2

Irritant dermatitis

Question 3

Rash involving the flexures

Answer 3

Candida infection

Question 4

Features of candida infection

Answer 4

Satellite lesions

Question 5

Seborrhoeic dermatitis

Answer 5

Well-defined areas of redness
Salmon pink
Flakes
Starts between 2w and 6m of life

Question 6

Bacterial

Answer 6

Redness with exudate, papules, pustules, blisters

Question 7

Conservative

Answer 7

Ensure nappy fits properly
Leave nappy off as much as possible to hel skin dry around nappy area
Change nappy every 3-4hours or as soon as possible
Use water or fragrance free, alcohol free wipes
Pat dry, don’t rub
Wash daily but not more than twice a day
Don’t use saop or bubble bath or lotions

NHS choices leaflet on nappy rash

Question 8

Mx if candida infection

Answer 8

Topical imidazole cream

Question 9

Mx if rash is another kind of dermatitis

Answer 9

Hydrocortisone cream 1 percent, max 7 days + barrier cream from OTC (wait a few mins after the steroid before applying barrier cream)

Question 10

If bacterial infection

Answer 10

PO fluclox 7 days, or clarithromycin

Question 11

How long do these rashes last

Answer 11

Not more than a week