Fachleiter
Description
This appears to be typical diaper dermatitis.
The skin is red, irritated and especially inflamed in the diaper area. It often arises from moisture, friction, or contact with urine and stool.
Fachleiter
Common Triggers
- infrequent diaper changes
- moisture and warmth
- diarrhea
- friction from the diaper
- harsh wet wipes or soaps
- new care products or diaper brand
Fachleiter
Important Negations
- no fever
- no open deep wounds
- no purulent discharge
- no involvement of other body areas
- no impaired general condition
Fachleiter
Cause
Usually an irritant contact dermatitis due to:
- prolonged contact with urine and stool
- skin maceration due to moisture
- friction in the diaper area
In intensely red patches with small satellite lesions, often also:
- secondary Candida infection
Fachleiter
Treatment
| Active ingredient (Generic) | Brand name | Form | Dosage / Application |
|---|---|---|---|
| Zinc oxide | Desitin®, Penaten®, Mirfulan® | Cream / paste | apply thinly after each diaper change |
| Dexpanthenol | Bepanthen® | Ointment | 2–4× daily |
| Clotrimazole | Canesten® | Cream | 2–3× daily if fungal infection suspected |
| Nystatin | Multilind® | Cream | several times daily for Candida |
| Hydrocortisone 0.5–1 % | Ebenol® Hydrocortison | Cream | only short-term and under medical supervision |
| Salt solution / Water | — | Cleaning | gentle cleansing without alcohol |
- Do not use cortisone long-term
- Use antifungals only for suspected fungal infection or Candida
- medical review if condition worsens despite therapy
- exclude other causes if fever or spreading occurs
Fachleiter
Important Considerations
- Change diapers frequently
- Keep diaper area dry
- Allow to air-dry if possible
- Avoid heavily perfumed products
- Avoid harsh wet wipes
- Use antifungal cream if fungal infection suspected
- Use cortisone only short-term
- Seek medical attention for fever, blisters, or spreading
- If no improvement after 3–5 days, a check-up is recommended