If a fungal rash occurs, how should the area be cleansed and treated?

  • Position the patient comfortably. Place a disposable basin, bedpan or towel under the affected area to protect the linens or furniture.
  • Wash your hands with soap and water.
  • Put on your exam gloves.
  • Cleanse area gently and thoroughly. Do not rub the affected area.
  • Pat the skin dry with a soft towel.
  • Apply an anti-fungal preparation.

    • If the rash area is dry, apply a thin layer of anti-fungal cream until it is absorbed into the skin. (If patient is incontinent, the anti-fungal cream must be applied after every incidence of incontinence).
    • If the rash area is moist (especially where skin-to-skin contact is present), dust with an anti-fungal powder and brush off the excess powder.
  • If the patient has not been prescribed an anti-fungal product, look for over-the-counter products that contain 2% miconazole.

  • If the patient is incontinent, apply a thin layer of moisture barrier ointment over the anti-fungal cream.
  • Remove your gloves carefully and discard properly.
  • Wash your hands with soap and water.
  • Note: As the rash heals, the skin becomes dry and flaky. Make sure to apply moisturizing creams and lotions to hydrate the skin, which prevents cracking and the development of fissures.

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