Utilizing a Combo Cream to Treat Severe Incontinence Associated Dermatitis (IAD) in Infant and Pediatric Populations

Problem: In a Children’s hospital incontinence associated dermatitis is a common skin issue. Infants and toddlers are particularly prone to severe epidermal erosion from frequent liquid stooling, though older children may also be impacted. Chemotherapy, specific feeding formulas, viral causes, and short gut are among the more common etiologies.

Past Management: When commercially available topical agents are ineffective, another option is needed. One of the most prescribed treatments by medical staff has sometimes made IAD worse.

Current Method/Outcomes: A combination of a product containing petroleum/cellulose gum, with another topical thickening petrolatum/zinc-containing product and a manuka honey gel has proven to be effective in healing the most severe cases of erosion. Three case studies with before and after photos will be presented.

Conclusions: The use of the Combo Cream in these case studies provided the desired skin protection and skin healing when commercially-available products and one widely-accepted compound for IAD had failed. The addition of the manuka honey gel was anecdotally observed to make the most significant improvement in how quickly the skin improved in these cases over using just a mix of the first 2 ingredients alone on past patients.