From the Research
Yes, a diaper candidiasis (yeast infection) can spread to the cheeks. Diaper rash caused by Candida albicans typically begins in the warm, moist areas covered by the diaper but can extend beyond the diaper area to the thighs, lower abdomen, and even the facial cheeks. Treatment involves keeping the affected areas clean and dry, allowing diaper-free time when possible, and applying antifungal creams such as nystatin, clotrimazole, or miconazole to the affected areas 2-3 times daily for 7-10 days. For facial involvement, be careful to avoid the eyes and mouth when applying medication. Change diapers frequently and gently cleanse the area with water or alcohol-free wipes. Avoid using harsh soaps, baby powder, or cornstarch. The spread occurs because the Candida yeast thrives in warm, moist environments and can be transferred by hands or washcloths during care. If the infection doesn't improve within a week, spreads significantly, or is accompanied by fever, contact a healthcare provider as prescription-strength medication may be needed.
Some key points to consider:
- Candida albicans is responsible for the most frequent secondary infections in diaper dermatitis, isolated in more than 80% of cases 1.
- Antifungal creams such as nystatin, clotrimazole, or miconazole are effective in treating diaper candidiasis 1, 2, 3.
- It is essential to keep the affected areas clean and dry to prevent the spread of the infection 4.
- The Candida yeast can be transferred by hands or washcloths during care, highlighting the importance of proper hygiene 5.
In terms of treatment, clotrimazole was found to be superior to nystatin in reducing symptom score and global assessment 3. Additionally, sertaconazole cream (2%) has been shown to be effective and safe in treating diaper dermatitis candidiasis 4.
Overall, it is crucial to prioritize proper hygiene, keep the affected areas clean and dry, and apply antifungal creams as directed to effectively manage diaper candidiasis and prevent its spread to other areas, including the cheeks.