Irritant diaper dermatitis is a non-specific term connected to skin rashes in the diaper zone that are caused by different skin issue and additionally aggravations. One of the leading organization collected information about nappy rash using self-completed questionnaires answered by parents at the end of the first four weeks of their baby’s life. The study found that 25% of the babies had experienced napkin dermatitis.
The organization has a comprehensive clinical knowledge summary on nappy rash here. Salient points:
- Skin swabs are not recommended for the management of nappy rash as the results are difficult to interpret.
- Both Candida and bacteria (such as Staphylococcus aureus) colonize healthy skin and a skin swab may be positive when infection is not present.
- A swab should only be taken when a secondary bacterial infection is suspected, to guide the choice of antibiotic.
The issue would be discussed more at our upcoming conference event “21st Global Summit on Pediatrics, Neonatology & Primary Care” during July 16-17, 2018 at Dubai, UAE revolving around the theme, “Probing LatestTrends in Pediatrics, Neonatology & Primary Care”
- Consider using nappies with the greatest absorbency (for example, disposable gel matrix nappies)
- Leave nappies off for as long as is practically possible. Clean and change the child as soon as possible after wetting or soiling. Use water, or fragrance-free and alcohol-free baby wipes.
- Dry gently after cleaning — avoid vigorous rubbing.
- Bath the baby every day — but sidestep extreme bathing which may dehydrate the skin.
- Do not use the cleanser, bubble bath, or cosmetics. Advise about skin care.
- Prescribe a barrier arrangement to apply thinly at each nappy removal, to defend the skin. Zinc and Castor Oil ointment BP or Metanium ointment is prescribed. Alternatively, white soft paraffin BP lotion or dexpanthenol 5% ointment (Bepanthen) could be used.
- For children over 1 month of age, consider directing thematic hydrocortisone 0.5% or 1% cream once a date for 7 days max.