The ABCDEs of Diaper Dermatitis Management [Klunk, 2014]

• Air
  • Take the diaper off!
• Barrier
  • First line therapies are typically non-medicated barrier creams.
  • Using simple petroleum product (ex, Vasoline) on top of the cream to prevent the barrier cream from sticking to the diaper.
• Cleansing
  • Important to keep the area clean, but to use soaps with near-physiology pH levels.
  • Important to avoid scrubbing or over-cleaning.
• Diaper
  • Frequent diaper changes (ie, every 2 hours) can help reduce time spent in a moist environment.
• Education
  • Avoid potentially hazardous therapies:
    • Powders (ex, Talc, Baby Powder)
    • High-dose steroids (can become too potent in the occluded diaper region)