Diaper rash (Paediatrics)

Very low urgency
Very common-

It is an irritation of the skin in contact with the nappy.

Factors that favour its appearance include: humidity, urine contact, frequent bowel movements, nappy rubs and/or reactions to soaps or perfumes.

Symptoms include: redness of the area, rashes, pimples, blisters, sores and/or areas of peeling skin on the part that covers the nappy.

Diagnosis is made by examining the affected skin.

Treatment includes

  • Proper hygiene
  • Daily bathing with water and neutral soap
  • Frequent nappy changes
  • Keeping the nappy area dry and exposed to the air for as long as possible
  • avoiding nappies that are too tight
  • Apply a paste to the water (zinc oxide) to protect the area and do not use talcum powder or scented wipes.
  • Depending on the degree of irritation, corticosteroid ointments and specific or antifungal ointments may be used if it is caused by an infection from a fungus called Candida.

This usually responds well to treatment. If it does not, see your paediatrician immediately.

Bibliographic references
  1. MedlinePlus. Rockville. 2017. Dermatitis del pañal; [citado el 12 de julio de 2017]. Disponible en: https://medlineplus.gov/spanish/ency/article/000964.htm
  2. I. Vitoria. Trastornos cutáneos más frecuentes del recién nacido y del lactante. Dermatitis del pañal. Pediatr Integral 2012;16(3):195-208
  3. A.C. Barreda, G. Botija, C. Labrandero, R. de Lucas. Manual de Diagnóstico y Terapéutica en Pediatría. Dermatitis atópica, seborreica y del área del pañal. Corticoides tópicos. Publimed. Quinta edición. 497-499.
  4. UpToDate [Internet]. Waltham. 2017. Diaper dermatitis; [citado el 12 de julio de 2017]. Disponible en: http://www.uptodate.com/contents/diaper-dermatitis?source=search_result&search=dermatitis+del+pa%C3%B1al&selectedTitle=1~36
Author
Dr. Maria Trabazo
Copyright
© TeckelMedical 2026

Symptoms

    Reddening/rash in the nappy area


    Reddened vulva


    Red skin on buttocks


    Fuss or cry when the area of the nappy is touched


    Genital discomfort

Symptoms to watch out for

Fever (temperature higher than 38 ºC)
Symptom persistence for more than two weeks after the initial treatment
Bleeding
Foul-smelling secretion
Pain when passing urine
Pain when passing stools

Self-care

Change nappies regularly to keep skin clean and minimise contact with urine and faeces.
At each nappy change, wash the baby's bottom with lukewarm water.
Apply cream, ointment or salve regularly.
Leave the baby without a nappy or oinment for short periods of time increasing the exposure of the skin to the air.