Nappy rash in geriatric patients
Nappy rash is a common disease of children and the impact of an aging population is increasingly appearing also in gerontology.
The main cause of nappy rash is ammonia, which is produced as a result of bacterial decomposition of urea released from urine. The effect of activated enzymes from faeces on the skin of geriatric patients in the nappy area is also significant. Areas that are exposed to close contact with nappies are most prone to nappy rash.
An airtight nappy cannot properly wick away moisture and increases skin temperature. Moist skin is then much more susceptible to damage from friction and abrasion.
The main cause of nappy rash is ammonia, which is produced as a result of bacterial decomposition of urea released from urine. The effect of activated enzymes from faeces on the skin of geriatric patients in the nappy area is also significant. Areas that are in close contact with nappies are most prone to nappy rash.
An airtight nappy cannot properly wick away moisture and increases skin temperature. Moist skin is then much more susceptible to damage from friction and abrasion.
Prevention and treatment
The basis of treatment is to prevent friction in the affected area: You can reduce skin moisture by changing nappies frequently, paying attention to the correct size and material. Leave the patient free of nappies in a warm, dry environment, limit excessive washing and avoid using wipes containing alcohol and perfumes.
Prevention is key and should prevent most cases of nappy rash. Choosing high-quality nappies is essential. Nappies must be breathable, absorb moisture well and not be too tight anywhere. If it is made of high-quality materials, protective creams are not necessary during normal use. These are mainly suitable when the skin is already irritated and red. If you use cream as a preventive measure, it is important to apply it in a thin layer so that it does not clog the microscopic pores in the nappy and allows air to circulate.
Our TIP: Use Dermaguard barrier cream as a preventive measure and to complement the treatment of nappy rash.
Dermaguard creates a barrier between the skin and irritants such as urine, faeces and sweat. When used correctly 2-3 times a day, it can significantly reduce the likelihood of nappy rash, eczema or fungal infections. Do not apply to skin in an acute condition.
