RISK FACTORS : Infrequent diaper changes, Waterproof diapers, Improper laundering, Family history of dermatitis, Hot, humid weather, Recent treatment with oral antibiotics, Diarrhea
DRUG(S) OF CHOICE
β’ If candidiasis suspected or diaper rash persistent, use
antifungal such as miconazole nitrate 2% cream, miconazole
powder, econazole (Spectazole), clotrimazole
(Lotrimin), or ketoconazole (Nizoral) cream, at each
diaper change.
β’ If infl ammation is prominent, consider very low potency
steroid cream, such as hydrocortisone 0.5-1% tid along
with an antifungal cream or and combination product
such as clioquinol-hydrocortisone (Vioform-Hydrocortisone)
cream
β’ If a secondary bacterial infection is suspected, use an
anti-Staphylococcal oral antibiotic or mupirocin (Bactroban)
ointment topically
ALTERNATIVE DRUGS : Sucralfate paste for resistant cases
PATIENT MONITORING : Recheck weekly until clear, then at times of recurrence
PREVENTION/AVOIDANCE : See General Measures
POSSIBLE COMPLICATIONS :
β’ Secondary bacterial infection
β’ Secondary yeast infection
EXPECTED COURSE/PROGNOSIS : Quick complete clearing with appropriate treatment