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Alternative Names Return to top
Dermatitis - diaper and Candida; Candida-associated diaper dermatitisDefinition Return to top
Candida-associated diaper dermatitis is an infection of the skin beneath an infant's diaper. It is caused by yeasts (Candida organisms).
Causes Return to top
Diaper rashes caused by infection with Candida species are very common in children. Candida is found everywhere in the environment, and takes advantage of the warm, moist area under a diaper to cause infections on the skin.
The infection may begin as a very red patch with irregular (but sharp) borders. Smaller red patches can spread out from the original border and blend in with the larger patch. The rash may spread to include the entire area covered by the diaper, including the scrotum and penis in boys, and the labia and vagina in girls.
Candidal diaper rashes can be associated with oral candidiasis, or thrush. In this case, the oral infection must also be treated.
Symptoms Return to top
Exams and Tests Return to top
Candidal diaper dermatitis can be diagnosed by examination alone because the rash has a unique appearance. The KOH test can confirm a Candida diagnosis.
Treatment Return to top
Topical antifungal skin creams and ointments will clear up infections caused by yeast. Miconazole and clotrimazole are available over-the-counter.
Prescription antifungals include:
Outlook (Prognosis) Return to top
The rash usually responds well to treatment.
Possible Complications Return to top
Complications from Candida-associated diaper rash can include:
When to Contact a Medical Professional Return to top
If your baby has a diaper rash that doesn't respond to home treatment, you should have the baby examined by your health care provider.
Prevention Return to top
It can be hard to prevent Candida infections, because these organisms are in the environment. Using highly absorbent disposable diapers to keep the skin dry reduces the chance of getting an infection. Changing the diaper soon after the baby urinates or passes stool also can help prevent infection.
Update Date: 8/15/2007 Updated by: Rachel A. Lewis, MD, FAAP, Columbia University Pediatric Faculty Practice, New York, NY. Review provided by VeriMed Healthcare Network.
