Nappy rash is usually due to irritation from urine or diarrhoea but after 48 hours it is commonly infected with Candida. Causes of Candida of the skin can include drugs-antibiotics, reduced immunity and broken skin barrier.
Symptoms can include distress, pustules in the flexures and bright red areas.
Management includes Nappy free time and use of cotton wool and water to clean the napkin area. Treatment of Nappy rash is a prescription for Clotrimazole Cream 20 gram which is applied 2-3 times to napkin area for seven days. To prevent relapse it is recommended to continue for 1-2 weeks after all infection has resolved. This prescription can be given by a health Visitor or a GP.
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