The nurse is caring for an infant with candidal diaper rash. Which topical agent would the nurse expect the healthcare provider to order?
Explanation & Rationale
A. Corticosteroids: Topical corticosteroids are used to reduce inflammation but are not effective against fungal infections like candidiasis. Using steroids alone may worsen the fungal overgrowth by suppressing local immunity. B. Antifungals: Candidal diaper rash is caused by Candida species, a fungal pathogen. Topical antifungal agents such as nystatin or clotrimazole are effective in eradicating the fungus, reducing erythema, and promoting healing of the affected skin. C. Antibiotics: Antibiotics target bacterial infections and have no effect on fungal organisms. Using antibiotics in candidal dermatitis is inappropriate and may further disrupt the normal skin flora. D. Retinoids: Retinoids are used for conditions like acne and psoriasis to modulate keratinization. They do not have antifungal properties and are not indicated for candidal diaper rash.