Presentation on theme: "Continuity Clinic Diaper Dermatitis. Continuity Clinic Objectives Be able to identify common infant diaper rashes Understand the factors involved with."— Presentation transcript:
Continuity Clinic Objectives Be able to identify common infant diaper rashes Understand the factors involved with causing irritant diaper dermatitis Know how to treat the common diaper rashes
Continuity Clinic Epidemiology 1990-1997: 4.8 million outpatients visits –75% of these in pediatric offices Peak ages: 9-12 months Often associated with Candida albicans –Higher severity associated with C. albicans
Continuity Clinic Factors Involved in Development Combination of: –Diaper occulsion –Fecal enzyme activity activity –Urine –Diaper chaging Leads to: –Overhydration of the stratum corneum –Chemical and mechanical abrasion –Susceptibility to penetration of irritants and microbes
Continuity Clinic Role of Urine and Feces Interaction of urine and feces is fundamental in the development of IDD (Irritant Diaper Dermatitis) Bacterial ureases in stool degrade urea in urine thus releasing ammonia –Ammonia does not irritate skin but increases local pH which reactivates fecal enzymes such as lipase and protease which irritate skin
Continuity Clinic Cleansing Avoid wipes with alcohol product Nonirritating cleansers: cetaphil or mineral oil Do not entirely wipe away barrier preparation – wipe away feces and replace what barrier is removed Powders? –Cornstarch is recommended over talcum powder –Talcum powder associated with severe respiratory distress caused by inhalation
Continuity Clinic Corticosteroid Use Low potency steroids relatively safe Mid to High Potency corticosteroids –Generally contraindicated in occluded areas of the skin and can cause skin atrophy, striae, tachyphylaxis, and growth delay –Abraded skin also increases absorption rates
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