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Yeast Infection Diaper Rash (cont.)

What Are the Signs and Symptoms of a Yeast Infection Diaper Rash?

Patient Comments

A yeast caused diaper rash is not painful. The characteristic bright red area of skin in the groin and around the anus, including the intertriginous region (the deep folds of skin where the legs attach to the child's torso), is characteristic of a yeast infection diaper rash.

How Do Health Care Professionals Assess and Diagnose a Yeast Infection Diaper Rash?

Careful examination of the diaper region for the characteristic diaper rash described above allows for rapid diagnosis and treatment. Supportive evidence for a yeast diaper rash diagnosis would be the presence of an oral yeast infection (thrush). Laboratory testing and/or examination by a dermatologist is rarely necessary.

What Is the Treatment for a Yeast Infection Diaper Rash?

Patient Comments

The primary treatment for Candida diaper rash involves antifungal topical treatment and decreasing moisture in the diaper area. Nystatin (Mycostatin), clotrimazole (Lotrimin), and miconazole (Micatin, Monistat-Derm) are topical over-the-counter (nonprescription) treatments of equal strength for treating Candida diaper dermatitis. Occasionally, other prescription antifungal creams, such as ketoconazole (Nizoral cream) and econazole (Spectazole) may be necessary. 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, usually in four to seven days.

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.

Some dermatologists and pediatric infectious disease specialists point out that the effectiveness of these topical creams has been waning over the last few years. An alternative oral medication (fluconazole [Diflucan]) taken once a day for two weeks can be very effective. Many pediatricians will initially recommend one of the topical medications for ease and simplicity and use fluconazole if topical treatment is not effective.

Some studies have indicated that preventing diaper rash may be done 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 after bathing or changing a diaper. Gentle cleaning to minimize skin breakdown may also be helpful. Air exposure (for example, no diaper) is also therapeutic.

Medically Reviewed by a Doctor on 11/20/2017

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Patient Comments & Reviews

The eMedicineHealth doctors ask about Yeast Infection Diaper Rash:

Yeast Infection Diaper Rash - Symptoms and Signs

Please describe the signs and symptoms of your child's diaper rash.

Yeast Infection Diaper Rash - Treatment

What treatment did your infant receive for a yeast infection diaper rash?


Read What Your Physician is Reading on Medscape

Diaper Dermatitis »

A prototypical example of irritant contact dermatitis, diaper dermatitis is caused by overhydration of the skin, maceration, prolonged contact with urine and feces, retained diaper soaps, and topical preparations.

Read More on Medscape Reference »


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