Priority Pediatrics PC

Skin Conditions
Diaper Dermatitis

Diaper dermatitis, also known as diaper rash, is a skin irritation that results from prolonged contact with urine and feces.

Diaper rash is common among anyone wearing diapers due to incontinence. This may include infants and children who are not yet potty trained, or adults who are incontinent due to medical conditions, such as spinal cord injury.

The rash may include the groin, genitals, lower stomach, upper thighs, and buttocks.

Bacterial and yeast overgrowth may occur after skin becomes irritated and loses its protective barrier. This overgrowth causes the skin to become especially red and inflamed. The use of antibiotics can worsen the overgrowth of yeast. For instance, parents may notice the worsening of diaper rash in their children who have taken antibiotics for ear infections.

Diaper Rash
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How is diaper rash treated?

Most cases of diaper dermatitis can be treated successfully with the over-the-counter antifungal creams, such as Lotrimin AF or Micatin. Do not use neosporin or other antibiotic creams, as their ingredients may cause an allergic reaction and worsen the rash.

Some cases of diaper dermatitis persist despite treatment, or become worse if the affected skin develops an allergic reaction to one of the topical medications.

How can diaper dermatitis be prevented?

You can prevent diaper dermatitis by following a few simple steps:

  • Use absorbent disposable diapers that don't allow urine to come into contact with the skin.
  • Change the diaper any time it is soiled by feces; it's the combination of feces and urine that causes the rash, not urine alone.
  • If you choose reusable cloth diapers, change them each time they get wet or soiled, or every one to hours.
  • With disposable diapers, do not allow the tape to stick to the skin.
  • Keep the diaper area as dry as possible; powder is generally not needed for this. In fact, baby powder can worsen the rash, especially in creases of the legs.
  • To prevent rashes that may develop at night, apply a paste containing zinc oxide, such as Desitin. This protects the skin by creating a barrier between the skin and the irritants.