Nappy rash

• What is another name for nappy rash?

  Napkin dermatitis
• What type of dermatitis is nappy rash?

  It is a form of irritant contact dermatitis
• What can compromise skin barrier function in nappy rash?

  Skin maceration and prolonged contact with urine
• Which organisms can cause secondary infections in nappy rash?

  Candida albicans and Staphylococcus aureus
• How long does nappy rash usually last?

  1. 4 days, up to 7 days
• What age group is most commonly affected by nappy rash?

  Babies aged 9-12 months
• What are some risk factors for developing nappy rash?

  Younger age and infrequent nappy changes
• How does the type of nappy used affect nappy rash?

  Non-absorbent nappies increase moisture and risk
• Why is nappy-free time important?

  It reduces skin contact with irritants
• How can oral antibiotics contribute to nappy rash?

  They may lead to diarrhea and fungal infections
• What dermatological conditions can increase the risk of nappy rash?

  Dry skin, eczema, and seborrheic dermatitis
• What are general signs of nappy rash?

  Redness, papules, and possible skin erosion
• What might indicate a fungal nappy rash?

  Bright red patches around perianal skin
• What are signs of bacterial nappy rash?

  Marked redness with exudate and blisters
• What should be done for mild nappy rash management?

  Leave the nappy off as long as possible
• How should the baby's skin be cleaned during nappy changes?

  Use cotton wool and water only
• How often should a baby's nappy be changed to prevent rash?

  Every 2-3 hours if rash is present
• What type of nappy is recommended for babies with nappy rash?

  Highly absorbent disposable nappies
• What should be avoided to prevent worsening nappy rash?

  Avoid plastic tight-fitting pants
• What is the purpose of applying a barrier preparation?

  To reduce skin contact with irritants
• What are some examples of barrier preparations?

  Dimeticone, zinc, and castor oil
• What topical antifungal treatments are used for fungal nappy rash?

  Clotrimazole, econazole, or miconazole
• What is the recommended treatment for bacterial nappy rash?

  Oral antibiotics like flucloxacillin
• When should hydrocortisone cream be considered?

  For moderate-severe rash causing discomfort
• What are the management steps for mild nappy rash?

  • Leave nappy off as long as possible
  • Clean with cotton wool and water
  • Change nappy frequently
  • Use barrier preparations
• What are the management steps for fungal nappy rash?

  • Use topical antifungal treatments
  • Avoid barrier preparations until healed
• What are the management steps for bacterial nappy rash?

  • Use oral antibiotics
  • Consider hydrocortisone cream for discomfort
• What are the differences in management for mild, fungal, and bacterial nappy rash?

  • Mild: No medication, keep dry, barrier creams
  • Fungal: Topical antifungals, no barriers until healed
  • Bacterial: Oral antibiotics, possible hydrocortisone