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.

Last reviewed by a Cleveland Clinic medical professional on 08/20/2007.

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