Managing nappy rash: An update

Nappy rash is a form of irritant contact dermatitis that is confined to the nappy area ( Scheinfeld, 2005 ). It is common for prolonged nappy rash to become infected with Candida albicans or other bacteria, for which a variety of treatments can be prescribed. The causes of nappy rash are disputed in the literature but there is evidence to show that several factors are implicated in its development, including regular use of nappies, and prolonged contact between the skin and urine and faeces ( Philipp et al, 1997 ). Health visitors can advise parents on prevention and treatment of nappy rash when it occurs and this article will present tips for management and sources of further information.