From the Research
The best treatment for adult diaper rash involves a combination of keeping the area clean, dry, and protected, with the application of a moisture barrier cream containing zinc oxide, as supported by the most recent study 1. To manage adult diaper rash effectively, it's essential to follow a comprehensive approach that prioritizes skin integrity, reduces moisture contact, and prevents bacterial or fungal overgrowth.
- Start by gently cleansing the affected area with warm water and a mild, fragrance-free cleanser after each episode of incontinence, then pat dry thoroughly.
- Apply a moisture barrier cream containing zinc oxide (such as Desitin, Calmoseptine, or Boudreaux's Butt Paste) or petroleum jelly (like Vaseline) to create a protective layer between the skin and moisture, as recommended by 2 and 1.
- For more severe cases with inflammation, a low-potency hydrocortisone cream (0.5-1%) can be applied sparingly for 3-5 days to reduce redness and irritation.
- Antifungal creams containing clotrimazole, miconazole, or nystatin should be used if the rash appears red with satellite lesions, suggesting a fungal infection, as indicated by 3 and 4.
- Allow for air exposure when possible by removing the diaper for short periods.
- Use absorbent adult briefs with breathable materials and change them promptly when soiled. This approach is supported by the most recent and highest quality studies, including 1, which demonstrated the efficacy and safety of a zinc gluconate-taurine/zinc oxide and panthenol/glycerin/Butyrospermum parkii butter barrier cream in treating diaper dermatitis in adults.