Children - Nappy Rash Flashcards
Nappy Rash
Nappy rash is the inflammation of the skin in the nappy area
Symptoms of nappy rash
- Skin in the nappy area looks red and raw and can present with white or red pimples
- Sore or itchy when the area is wiped
- Your baby may be unsettled or irritable
Questions to ask
Any recent diarrhoea
- Sometimes occurs during or after bout of diarrhoea
How long has baby had nappy rash
Common causes of nappy rash
Most due to a reaction of the skin to urine and faeces
Skin conditions i.e. Eczema, psoriasis
Fungal infection
Allergy to soap, bubble bath etc.
Fungal infection nappy rash
Nappy rash thrush
- When the skin is damaged by irritants it is more likely that candida (a yeast which lives naturally on the skin) will overgrow, causing candidal nappy rash.
Fungal infection symptoms
- Skin appears shiny
- Rash surrounded by areas of broken skin
Bacterial infection symptoms
Yellow crusts
Red flag symptoms
Broken skin and severe rash
BUnwell baby
Signs of infection
Other body areas affected
Persistence of rash
Treatment options
Metanium ointment
Sudocrem
Metanium ointment
Specifically formulated to soothe and treat your baby’s nappy rash.
- Can be used from birth onwards
Non- pharmacological advice
- Change nappy frequently
- Clean the bottom with warm water and cotton wool rather than wipes
- Dry the nappy area thoroughly
- Leave nappy off for as long as possible: so air is able to circulate around the skin, helping affected area remain dry
- Avoid using talcum powder
- Make sure that the baby is drinking plenty of fluids
- Ensure to dress in loose fitting bottoms
Referral
- If the condition has been present for longer than 2 weeks, depending on the nature and severity of the rash.
- A baby with nappy rash that does not respond to skin care and OTC treatment within 1 week should be seen by the health visitor or GP.
