When viewing this topic in a different language, you may notice some differences in the way the content is structured, but it still reflects the latest evidence-based guidance.

Dermatite da área das fraldas

Last reviewed: 20 Aug 2025
Last updated: 24 Jan 2024

Summary

Definition

History and exam

Key diagnostic factors

  • presença de fatores de risco
  • início agudo de erupção cutânea na área das fraldas
  • eritema de superfícies convexas na área das fraldas
  • pregas cutâneas poupadas
Full details

Other diagnostic factors

  • características de candidíase
  • típicos de infecção por Staphylococcus aureus
  • típicos de infecção por estreptococo do grupo A.
  • agitação
Full details

Risk factors

  • idade <2 anos
  • diarreia
  • distúrbio dermatológico subjacente
  • antibióticos orais
  • trocas de fralda esporádicas
  • uso excessivo de produtos de cuidados do bebê
  • excesso de detergente
  • excesso de limpeza
  • calça plástica
  • ausência de períodos sem fraldas
  • infecções cutâneas subjacentes
Full details

Diagnostic investigations

Investigations to consider

  • teste de hidróxido de potássio de raspado de pele
  • cultura bacteriana da pele
  • cultura fúngica da pele
  • Hemograma completo
  • nível sérico de zinco
Full details

Treatment algorithm

ONGOING

todos os pacientes

Contributors

Authors

Linda S. Nield, MD, FAAP
Linda S. Nield

Associate Dean for Admission

Professor of Medical Education and Pediatrics

West Virginia University School of Medicine

Morgantown

WV

Disclosures

LSN is an author of references cited in this topic.

Deepak Kamat, MD, PhD, FAAP
Deepak Kamat

Professor of Pediatrics

Vice Chair for Academic Affairs

Department of Pediatrics

UT Health San Antonio

San Antonio

TX

Disclosures

DK is an author of references cited in this topic.

Peer reviewers

Jonette E. Keri, MD, PhD

Assistant Professor of Dermatology and Cutaneous Surgery

University of Miami

Miller School of Medicine

Miami

FL

Disclosures

JEK declares that she has no competing interests.

Martin E. Weisse, MD

Professor of Pediatric Infectious Disease

Walter Reed Army Medical Center

Washington

DC

Disclosures

MEW declares that he has no competing interests.

Kam Lun Ellis Hon, MBBS, DCH, FAAP, FCCM

Associate Professor

Department of Paediatrics

The Chinese University of Hong Kong

Hong Kong

China

Disclosures

KLEH declares that he has no competing interests.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

References

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

Key articles

Lebsing S, Chaiyarit J, Techasatian L. Diaper rashes can indicate systemic conditions other than diaper dermatitis. BMC Dermatol. 2020 Sep 21;20(1):7.Full text  Abstract

Šikić Pogačar M, Maver U, Marčun Varda N, et al. Diagnosis and management of diaper dermatitis in infants with emphasis on skin microbiota in the diaper area. Int J Dermatol. 2018 Mar;57(3):265-75. Abstract

Reference articles

A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.

Use of this content is subject to our disclaimer