Diaper Rash Care and Management

Suzanne Borkowski

Disclosures

Pediatr Nurs. 2004;30(6):467-470. 

In This Article

Introduction

There are many alternatives and products available in the management of diaper rash (DR). The differences may cause confusion to nurses. These options may reflect unfamiliarity of the products and ingredients, practitioner preference, availability, cost, and family customs and traditions. What may work for one child may not work for another. This article will give a brief review of diaper rash, skin care products and ingredients, and alternatives in care.

Diaper rash (DR) or diaper dermatitis is one of the most common skin disorders in infants and toddlers(Liptak, 2001). Diaper rash may occur at any time, to any child, and to the most meticulous parent, but it typically tends to wax and wane, and occurs most frequently between 9 and 12 months of age (Van Onselen, 1999; Jorden, Larson,Berg, Frandman, & Marrer, 1986). The etiology is multifocal and a diaper rash may present in various conditions in the pediatric community. The majority of cases are mild to moderately severe and subject to individual interpretation. Diaper dermatitis usually occurs as a primary reaction to irritation by urine, feces, moisture, or friction (Van Onselen, 1999; Berg,Buckingham, & Stewart, 1986; Zimmerer, Lawson, & Calvert, 1986;Buckingham & Berg, 1986). Care and management of diaper dermatitis can present a challenge for pediatric nurses and care providers. To identify the cause, an assessment and accurate history are necessary. A description of the rash must be documented along with continued assessment, evaluation, and the outcome of treatment.

There are many alternatives and products available in the management of DR, which may sometimes confuse the nurse. These options may reflect unfamiliarity of the products and ingredients, practitioner preference, availability, cost, and family customs and traditions. What may work for one child may not work for another. A brief review of diaper rash, skin care products and ingredients, and alternatives in care will be presented.

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