Antifungals
Patient Counselling
Patient Education: Antifungals <1,2>
Treatment
References:
1. Sibbald, D. Diaper Dermatitis. In: McLeod PJ, Allen M, Conly J, eds. Patient Self-Care - Helping Your Patients Make Therapeutic Choices. 2nd ed. Ottawa, ON: Canadian Pharmacists Association; 2010: 534-545.
2. Horii, KA, Prossick, TA. Overview of diaper dermatitis in infants and children. In: Corona, R (Ed), UpToDate, Waltham, MA, 2013.
Treatment
- Take the diaper off to air out the skin as much as possible.
- Check your baby’s diaper every 2 to 3 hours and change when it is wet.
- Change your baby’s diaper right after each bowel movement.
- Clean the area gently using warm water and a soft cloth. If soap is used, ensure a mild and unscented one is used. Pat the area dry with a soft towel afterward.
- Clean your hands before applying the antifungal medication.
- For miconazole 1% or clotrimazole 2%, apply a thin layer twice daily for 1-2 weeks. For nystatin, apply to affected area 2-3 times daily for 2 weeks.
- Side effects include skin irritation, burning, pruritis, stain clothing (for nystatin only).
- Apply a barrier cream on top of the antifungal.
References:
1. Sibbald, D. Diaper Dermatitis. In: McLeod PJ, Allen M, Conly J, eds. Patient Self-Care - Helping Your Patients Make Therapeutic Choices. 2nd ed. Ottawa, ON: Canadian Pharmacists Association; 2010: 534-545.
2. Horii, KA, Prossick, TA. Overview of diaper dermatitis in infants and children. In: Corona, R (Ed), UpToDate, Waltham, MA, 2013.