Monday, November 10, 2014

Candidiasis or Monilial Rash or Fungal "Yeast" Dermatitis

This image is from http://www.oley.org/lifeline/TubetalkMA07.html



Also known as monilial rash or candidiasis


Discoloration—redness or darker

Pigmentation

Papules and pustules may be present

Maceration with satellite lesions

May be pruritic


Caused by body perspiration, denuded skin, or leaking pouch system

 
Predisposing factors: diabetes mellitus, immunosuppression, oral contraceptive use, steroid use, and antibiotic use


Treatment: usually antifungal powder and skin prep. “Crusting” method.


Reference: Emory University, 2013; WOCN, 2007








Prevention:




Eliminate moisture by using a properly fitting pouching system





Consider use of a pouch cover or pouch with a cloth backing





Dry pouching system well after swimming, bathing, showering, or after being in contact with water or steam.  Use of hair dryer on the coolest setting to dry pouching system should be considered.





Consider use of prophylactic treatment if a pattern of getting fungal infection established, example if patient gets it when on antibiotic therapy.





Reference: WOCN, 2007


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