Nappy Rash

• Mild rashes do not normally need medication
• Leave nappy off for long periods of time
• Avoid fragrant soaps,creams or wipes which might cause irritation
• Use cotton wool and water to clean nappy area opposed to wipes
• Change nappies everytime they wet or soil
• Change type of nappy used and use higher absorbance
• Avoid plastic pants over nappy
• Use a barrier cream with mild rash e.g dimeticone, zinc,caster oil, sudocream
• For moderate rashes consider hydrocortisone cream
• Fungal rash- sharp red margins, papules and pustules, may be satellite lesions
• Bacterial rash- redness with exudate, papules and pustules, may have systemic symptoms
• For fungal rash, topical antifungal creams and advise not to use barrier cream
• For bacterial rash, oral antibiotics
• Form of irritant contact dermatits
• Usually last 2-4 days however for candida 10-21