How to Treat Nappy Rash
Non-pharmacological options for both prevention and treatment are summarized as the “ABCDE” approach that includes the following:
Pharmacological options for treatment:
If nappy rash persists despite non-pharmacological measures, doctors may prescribe the following depending on the baby’s condition:
A mild hydrocortisone (steroid) cream
An antifungal cream
Topical or oral antibiotics
Prevention of nappy rash if the end-goal, but if the condition does progress, treatment should aim to reverse the skin damage and prevent recurrence.
The International Guideline Recommendations of the AWHONN recommend the use of zinc-oxide-based ointment for prevention and treatment of nappy rash.
Zinc Oxide provides a barrier from irritants, allowing skin to heal. It protects more severe rashes with maximum levels for a sturdy barrier and maintains a good safety profile in babies. It is an FDA-approved skin protectant with a recommended concentration up to 25%. Additional recommended treatments include petrolatum, Vitamin A and D ointment, and antifungal ointment.
Recommend your patients to consider a good care routine, starting with frequent nappy changes. Thorough cleansing, drying, and use of specially formulated products at every nappy change can protect sensitive skin and help prevent nappy rash
*Guidelines recommend decrease in use of Vitamin A and D ointment in well babies.