Diaper Dermatitis

State the typical presentation of diaper dermatitis, factors that contribute to its development, and complications

• Typical Presentation:

  • Red, small, perineal lesions

• Factors

  • Tight-fitting, unchanged, or cloth diapers

• Complications

  • Fungal infections

  • Bacterial infections

  • Skin maceration, ulceration

Identify exclusion criteria for the treatment of diaper dermatitis

• Lesions >7 days or lack of improvement

• S/Sx of secondary infection

• Diaper dermatitis outside diaper area

• Possible UTI

• Broken skin, blood, vesicles, or pus

• Comorbid conditions

• Severe or systemic symptoms

• Chronic, frequent or recurrent symptoms

• Significant behavioral changes associated with rash (incessant crying, lethargy)

Identify non-pharmacologic strategies for the prevention of diaper dermatitis

• Skin Protectants

  • Zinc Oxide (Desitin)

    • Requires soap for removal

  • Petrolatum (A&D, Vaseline)

    • Ointment bases

  • Talc and Cornstarch

    • Reduces moisture and friction

    • Inhalation warning

    • Talc probably carcinogenic

ABCDE