Occlusive Dressing Technique
Occlusive dressings may be used for the management of psoriasis or other recalcitrant rub a small amount of cream into the lesion until it disappears. Reapply the preparation leaving a thin coating on the lesion, cover with pliable nonporous film, and seal the edges. If needed, additional moisture may be provided by covering the lesion with a dampened clean cotton cloth before the nonporous film is applied or by briefly wetting the affected area with water immediately prior to applying the medication. The frequency of changing dressings is best determined on an individual basis. It may be convenient to apply Triamcinolone acetonide cream under an occlusive dressing in the evening and to remove the dressing in the morning (., 12-hour occlusion). When utilizing the12-hour occlusion regimen, additional cream should be applied, without occlusion, during the day. Reapplication is essential at each dressing change. If an infection develops, the use of occlusive dressings should be discontinued and appropriate antimicrobial therapy instituted.
When it comes to your baby's skin , you can depend on one thing: It's bound to erupt into a rash during the first year. Why? The human skin acts as a protective barrier against all sorts of elements, from sun to bacteria, but it takes about a year for that epidermis to get up to speed and function effectively, says Bernard Cohen, ., director of pediatric dermatology at Johns Hopkins Children's Center. It starts out thinner, has less pigment, and doesn't regulate temperature as well as the skin of bigger kids and adults. Of course, no baby escapes the most common skin issue—diaper rash. The diaper area is warm and moist, which breaks down the skin on that tender tush. Add irritating poop and pee and you've got the perfect environment for breakouts. Keep diaper rash under control by changing your baby often, using petroleum jelly or a barrier cream with zinc oxide to protect his bum, and letting his naked bottom air out occasionally (put a sheet on the floor and let him loose). Protect the rest of that fragile birthday suit with mild products, such as hypoallergenic and fragrance-free soaps, washes and lotions. Once your baby turns 1, you can relax a little—his skin will be thicker and more rash-proof.
Corticosteroids are generally teratogenic in laboratory animals when administered systemically at relatively low dosage levels. The more potent corticosteroids have been shown to be teratogenic after dermal application in laboratory animals. There are no adequate and well controlled studies in pregnant women on teratogenic effects from topically applied corticosteroids. Therefore, topical corticosteroids should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus. Drugs of this class should not be used extensively on pregnant patients, in large amounts, or for prolonged periods of time.