The above measures are likely to clear a mild rash. If the rash becomes worse, a doctor or health visitor may advise one or both of the following in addition to the above measures.

• A mild steroid cream or ointment such as hydrocortisone. Steroids reduce inflammation. Apply sparingly once a day (before using a barrier cream) for a few days until the rash has cleared. A steroid cream or ointment should not usually be used for more than seven days.
• An antifungal cream (which kills candida). This is typically applied 2-3 times a day. Unlike a steroid cream, continue to use an antifungal cream for 7-10 days after the rash has cleared to make sure all the candida germs have gone.

Sometimes the inflamed skin of a a nappy rash becomes infected with bacteria (other types of germs). This may be suspected if the rash becomes worse, despite using the above treatments. In these cases an antibiotic medicine may be needed. Therefore, if a nappy rash does not improve with the usual treatment described above, then see your doctor.

© EMIS and PIP 2006 Updated: September 2006 PRODIGY Validated

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