Behandeling en Beheer van Perianaal Eczeem volgens NHG Richtlijnen

StatPearls [Internet].

Kevin M. Pennycook , Tess A. McCready .

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Last Update: June 26, 2023 .

Perianal streptococcal dermatitis is a cellulitis of the perineum. The most common causative organism is group A beta-hemolytic streptococci. Therefore, perianal streptococcal dermatitis is treated with both oral and topical antimicrobials. This dermatologic condition is a disease of children and often presents in the winter and spring months. This activity reviews the evaluation and management of perianal streptococcal dermatitis and highlights the role of the interprofessional team in evaluating and treating patients with this condition.

Summarize the importance of improving care coordination among the interprofessional team to improve outcomes for patients affected by perianal streptococcal dermatitis.

A note about topical steroids

When you have an itchy perineum, it’s natural to contemplate treating the itch with topical corticosteroids. These anti-itch creams can work well on other parts of the body, but applying them to the perineum isn’t the best choice. Steroid itch creams can have a skin-thinning effect, which could worsen symptoms or create new ones.

For this reason, don’t apply steroid creams to the perineal area unless your doctor recommends it.

While it’s not always possible to prevent itching in the perineum, there are some steps you can take to reduce the likelihood that itching will occur. These include:

Ask your doctor if there are specific preventive approaches you can take given the underlying cause of your perineal discomfort.

Perineal itching may be an uncomfortable topic to talk about, but it’s often more uncomfortable to experience.

If preventive methods or at-home treatments haven’t helped (or you’re worried you have an infection), talk to a doctor. They can help determine potential causes and help you feel more comfortable.

Prescription medications

Prescription options for rash treatment include:

Depending on which type of butt rash you’re experiencing, there may or may not be steps you can take to prevent future outbreaks.

Here are a few tips to prevent a butt rash before it happens:

• Consider a fragrance-free laundry detergent.
• Opt for a gentle, soap-free, fragrance-free cleanser.
• Avoid wool and other itchy fabrics.
• Wear loose-fitting clothing to prevent friction.
• Try regularly using a gentle moisturizer.
• Use a moisture barrier ointment, such as petroleum jelly, to prevent friction.
• Choose antiperspirants to prevent excess moisture. However, deodorants can sometimes cause allergic skin reactions.
• Avoid harsh chemicals or other known irritants.
• Always shower and change into clean clothes after exercising.
• Avoid reusing sweaty clothes left in a gym bag.