Diaper rashes

1. ميحرلا نمحرلا لا مسب
pediatric skin disorder

DAIPER RASHES
M.M. Gaber M.M. Gaber
RN, MSN, PNRN, MSN, PN

2. DEFINITION OF DIAPER RASHES
Diaper rash (Nappy rashes) is any
rash that affects the diaper area
of the child.
It is a common condition in
infants.
Diaper rash is usually not
contagious.

3. Risk factor
babies between 8 to 10 months of
age.
babies are not kept clean and dry.
babies who have frequent stools.
babies begin to eat solid foods
babies are taking antibiotics.
babies whose mothers are taking
antibiotics

4. causes
Too much moisture in the diaper
area.
 Yeast or bacterial infection.
Skin stays in contact with urine or
feces for a long period.
Allergic reaction to the material a
diaper is made of.

5. signs and symptoms
Skin rashes on
-Abdomen.
-Genitals.
-inside the skin folds
of the thighs.
-Bottom.
Redness of the skin.

6. -painful, open
sores.
-discomfort
during changing
diaper or
washing diaper
area.

7. Nursing care

8. 
Change diaper frequentlyChange diaper frequently
- Check the diaper about every hours;
if there's wet or solid change them
immediately
- Make sure that the baby bottom is
completely dry before closing up the
fresh diaper.

9. 
Increase air exposureIncrease air exposure
- Keep baby bottom expose to the air
as mush as possible each day.
- Fasten the diaper loosely to allow air
circulate between it and skin
- Make holes on disposable diaper to
let air in.

10. 
Rinse the skin with warm waterRinse the skin with warm water
- Use mild soap only after bowel
movement
- Rinse skin well if there raw diaper
rashes
- use warm water soaks for 15 min
three times per day.

11. 
Night time careNight time care
- at night use anew diaper with
material that lock wetness in side
and away from skin
- Awake once during the night to
change the baby diaper.
- Avoid plastic pants at night.

12. 
Apply creams and ointmentApply creams and ointment
- if the skin dry and cracked apply an
ointment to protect the skin after
washing off each bowel movement.
- Use barrier ointment if the baby
have diarrhea.
- Avoid powder because of risk of
pneumonia if baby inhale it.

13. 
Detect yeast infectionDetect yeast infection
- If the rashes is bright red and not
respond to 3 days of warm water
cleansing and air exposure its
suspect yeast infection.
- Apply Antifungal cream after each
bottom rinse for bowel movement.

14. 
Parent educationParent education
- Avoid using lotions that may contain
perfumes or other additives.
- Contact health care center
# if baby has a diaper rash and fever.
# the rash does not improve within
two to three days when you treat as
described.
# Persistent diaper rash is present.

15. prevention

16. Change the diaper promptly after child
wets or has a bowel movement this
limits moisture on the skin.
Keep the diaper area dry and clean.
Avoid using harsh soap.
Avoid dressing your child in plastic
clothes.
Avoid using tight fitting diapers that
could rub against the skin.

17. THANKS