Prescribe the treatment of diaper dermatitis should the doctor, since it depends on the stage (form) of the pathology. The main components of therapy - compliance with the rules of hygienic care. So, with a mild form of diaper erythema, it's enough to change wet and dirty diapers in time and after each urination or feces wash the inguinal and gluteal region of the body with warm water with baby soap and then dry it well by blotting. Pediatricians are also advised to leave the baby naked for several minutes (at room temperature not below + 22-25 ° C): these air baths ensure the evaporation of moisture residues from the skin (especial from the folds in the groin and on the inner thighs). Dry skin should be oiled with mineral or vegetable oil. Such oils are recommended for diaper dermatitis, as: vaseline, stone (almond), sea-buckthorn. You can also use a baby cream with an extract of chamomile or string.
To dry the wet areas of the skin, the use of powders with diaper dermatitis, in which zinc oxide is present, is practiced: it not only dries the skin, but also fights against infection. With the same purpose, traditionally used zelenka with diaper dermatitis (once a day), as well as zinc ointment - two or three times a day.
But the cream Cinovit (with zinc pyrithione and a derivative of glycyrrhizic acid) contains more exfoliating lactic acid and oils and is designed to fight acne and acne. Do not use the product for up to a year.
One of the best ways to get rid of diaper erythema is the cream with dexpanthenol Bepanten (other trade names are Dexpanthenol, D-Panthenol, Pantestine, Pantoderm).
More information in the material - Ointments for diaper rash and in the article - Treatment of diaper rash in adults
An effective agent is Sudocrem, which includes zinc oxide and benzyl compounds with antibacterial and antifungal properties. But with a damp skin this cream should not be used, since after its application a film is formed.
Medicines for external use with antibiotics and antimycotic components are necessary if bacterial or fungal infection is attached to diaper dermatitis. And they are used only for the prescription of a dermatologist. For example, to treat candidal diaper dermatitis, it is best to apply 1% cream Clotrimazole (Lotrimin, Oronazol), which is applied to the affected skin three times a day until the rash disappears, and then for at least two more weeks - once a day.
Bacterial diaper dermatitis is successfully treated with Levomecol (with chloramphenicol and methyluracil) - once or twice a day. The drug Baneocin - thanks to the presence of antibiotics, neomycin and bacitracin copes well with the swollen skin inflammations. But neomycin, absorbed into the skin of an infant, can cause toxic effects on the kidneys and reduce hearing. Therefore, even adults can not be applied to large areas of the skin. The same applies to Baneoecin in powder form, which is used as a powder for bacterial diaper dermatitis in adults.
In the pimafukort ointment, the active substances are the antibiotics neomycin and natamycin, as well as hydrocortisone. Hydrocortisone is well absorbed by the skin, and in young children, the degree of absorption is even higher, which increases the risk of its negative systemic effects in the form of a decrease in the functions of the pituitary and adrenal glands, the development of hypercorticism, the excretion of calcium from the body and slowing growth. The use of GCS can lead not only to the development of reactive dermatosis, the violation of trophic skin and its atrophy, but also to the activation of infection. In addition, the ointment contains neomycin, the side effect of which has already been mentioned. This ointment, according to the official instruction, is not prescribed for children up to a year.
Triderm Ointment contains a potent corticosteroid betamethasone (relieves inflammation and itching), antibiotic gentamicin and clodrimazole, acting on a candidiasis infection. Among its contraindications - dermatoses (including diaper) in children of the first year of life.
Ointment Acryderm, except for betamethasone, contains antibiotic gentamicin and children are contraindicated for up to a year.
Advantan (0.1% ointment, cream, emulsion) also refers to topical corticosteroids, since its active ingredient is potent GCS methylprednisolone. But, as indicated in the instruction, its application (once a day) to children with diaper dermatitis without maceration is permissible - after four months.
It should be borne in mind that foreign pediatricians are not prescribed corticosteroids for children under two years of age. Our doctors consider possible children up to a year external use of 1% hydrocortisone, but in small areas of the skin.
Among the alternative remedies for diaper dermatitis is the decoction of bay leaves (two leaves per 200 ml of water, boiled for about 10 minutes), which treat the affected areas. Suitable in such cases are infusions or decoctions of oak bark and birch leaves.
Also - with a slight skin hyperemia - you can treat herbs: wash the buttocks and inguinal folds with decoctions of chamomile, sequins, sage, marigold, plantain (two to three tablespoons of a dry plant per liter of water).
Undoubtedly the benefits of bathing babies with the addition of herbal decoctions in the bath, and this is a simple and proven physiotherapy treatment at home for many generations.