1,3 There is no evidence that supports the effectiveness of one diaper cream over another.1 In my experience, consistency with frequent application is more important than the product brand. It is not necessary to remove all of the cream with every diaper change. It is often taught to apply diaper cream like cake icing. In darker skin, patches of IAD appear pale and overhydrated or reddish and shiny.Ī thick layer of zinc-based cream should be maintained on the diaper area at all times and should be reapplied with each diaper change. In early stages of IAD, the skin is tender and appears pink or red in patients with lighter skin tones. Skin breakdown in the diaper area can range from mild redness to large patches of denuded skin that are weeping or perhaps even bleeding. In the setting of increased skin moisture and lowered pH, such as an illness that causes diarrhea, IAD prevention measures may fail. For skin that is intact and free from breakdown, clear barrier products offer lighter protection and allow frequent assessment of the skin. Skin cleaning wipes that contain dimethicone or other moisture barriers are particularly beneficial.
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