Does Type Of Diaper Matter For Yeast Diaper Rashes?

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Diaper rashes decrease to the extent that diapered skin can have an environment closer to that of undiapered skin. The less time that infants wear diapers, the less the chance that they develop a diaper rash. However, the need to wear diapers must also be considered. Disposable diapers are associated with fewer cases of yeast diaper rash than are cloth diapers. Disposable diapers have absorbent gelling materials. Infants who wear breathable disposable diapers developed significantly fewer diaper rashes of any type than infants who wore standard, nonbreathable disposable diapers in a series of clinical trials.

An evaluation of past clinical studies conducted before and after the introduction of absorbent gelling materials confirms that use of these materials has been associated with a definite reduction in the severity of diaper rash. The results demonstrated the clinical benefits associated with continuous topical administration of zinc oxide/petrolatum –based formulation diapers. Survival of Candida colonies was reduced by almost two thirds in the breathable diaper –covered sites compared to the control sites.

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How Is Yeast Diaper Rash Treated?

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The primary treatment for candidal diaper rash involves antiyeast topical treatment and decreasing moisture in the diaper area. Nystatin (Mycostatin), econazole (Spectazole), clotrimazole (Lotrimin), and miconazole (Micatin, Monistat-Derm) are topical treatments of equal strength for treating candidal diaper dermatitis. Occasionally, other antifungal creams may be prescribed, such as ketoconazole (Nizoral cream). How long treatment should last has not been completely defined, although, typically, the cream or ointment is applied at each diaper change until the rash is resolved.

Because of the intestinal reservoir of Candida species in most patients with yeast diaper rash, some doctors recommend oral antifungal medications in addition to topical creams. No study has definitively answered the question whether oral antifungal medications are helpful.

Prevent diaper rash by applying barrier creams like zinc oxide (A&D Ointment, Desitin, Diaparene) or petroleum jelly (Vaseline, Aquaphor) to the diaper area after bathing. These products may help to decrease the ambient moisture in the diaper area. Gentle cleaning to minimize skin breakdown may also be helpful.

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