How is yeast diaper rash treated?
The primarytreatment 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 speciesin most patients with yeast diaper rash, somedoctors recommend oral antifungalmedications 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 breakdownmay also be helpful.