From the Research
The best treatment approach for intertriginous skin infections in bedbound nursing home patients involves a comprehensive strategy combining topical antifungals, antibacterials, and proper skin care, as recommended by the most recent and highest quality study 1.
Key Considerations
- For fungal infections (commonly Candida), apply clotrimazole 1% or miconazole 2% cream twice daily for 2-3 weeks, as supported by a systematic review and meta-analysis 2.
- For bacterial infections, mupirocin 2% ointment applied three times daily for 7-10 days is effective, although the quality of evidence remains low 3.
- In mixed infections, combination products like nystatin-triamcinolone may be used twice daily for 7-14 days, but limit steroid use to avoid skin thinning.
Prevention and Management
- Prevention is crucial: keep skin folds clean and dry, change position every 2 hours, use moisture-wicking fabrics, and apply zinc oxide barrier cream to intact skin, as suggested by a review of intertrigo management 1.
- Absorbent powders like miconazole powder can help maintain dryness.
- Addressing underlying causes through proper hygiene, moisture control, and regular skin assessment is essential for effective treatment and prevention of recurrence, as emphasized by a study on intertrigo causes, prevention, and management 4.
Important Considerations
- The incorporation of intertrigo in the ICD-11 provides a clear definition and should improve the accuracy of estimates, as noted in a recent review 1.
- The literature demonstrates consensus among health professionals in approach, and this forms the basis for recommendations, although the quality of evidence remains low 1.