eczema, atopic dermatitis, or also called diaper rash is a common form of skin irritation. Its appearance is regularly due to the use of nappies, and may be related to infrequent changing, as well as skin sensitivity and chafing. Although in most cases it is a condition suffered by babies, the truth is that this disease can affect anyone who uses diapers on a daily basis.
The main symptoms of diaper rash are the presence of inflamed skin on the buttocks, thighs, and genitals; sensitive and itchy or irritated skin in the same area; as well as discomfort, irritability or crying, especially during the diaper change.
a recent publication of Canadian Medical Association Journal (CMAJ) realized that the condition affects between 10 and 20% of babies in that country, and given how stressful the discomfort it generates in the child can be for parents and caregivers, they gave a series of practical advice for his best drive.
“Recognizing and diagnosing atopic dermatitis, getting it into remission, and then maintaining control can be challenging for both clinicians and caregivers,” began Dr. Derek Chu, an assistant professor in the Division of Allergy and Immunology at McMaster University and co-chair of the upcoming guidelines on atopic dermatitis from the American Academy of Allergy, Asthma, and Immunology and the American College of Allergy, Asthma, and Immunology.
The expert provided five key tips for general and specialty healthcare providers to promote best practices for managing atopic dermatitis in infants. “Atopic dermatitis affects more than just the skin and impacts the entire family, so optimal management of atopic dermatitis at this critical stage of the development of a baby It’s important,” Chu said. And he listed:
1- Atopic dermatitis on the cheeks, outer limbs and trunk is common in babies, and classic eczema affecting behind the knees and in the creases of the elbows may not develop until later in childhood .
2- The best moisturizer is the one that will be used by caregivers and patients. New evidence shows that any kind of moisturizer (lotion, cream, gel or ointment) used at least twice a day helps control atopic dermatitis.
3- Atopic dermatitis is an inflammatory condition that requires anti-inflammatory treatment. The lowest dose of topical steroid should be used to control flare-ups, and applying once a day has been found to be as effective as twice a day. If flare-ups recur frequently, intermittent use of topical medications (two consecutive days, eg on weekends) can prevent further flare-ups.
4- The evidence does not support the routine use of antibiotics to treat local secondary bacterial infection.
5- Food avoidance may not improve eczema and may increase the risk of food allergy.
There are several reasons why a person can suffer from baby dermatitis, the main ones are the following:
– Using wet or dirty diapers for a long time, as sensitive skin can develop a rash. Babies may be more prone to diaper rash if they have frequent bowel movements or diarrhea.
– Friction or rubbing, because tight diapers or clothing that rub against the skin can cause a rash.
– Using a new product, as baby’s skin may react to a new brand of wipes or diapers, or to the detergent, bleach, or fabric softener used to wash cloth diapers. Ingredients in lotions, powders, and oils may make the problem worse.
– The development of a bacterial infection or by fungi (fungal), what starts as a simple infection can spread to the surrounding skin. The area covered by the diaper is at risk because it is warm and humid, which makes it the ideal environment for the proliferation of bacteria and fungi. These rashes can be found between skin folds, and you may see scattered red dots around the folds.
– The addition of new foods, as babies begin to eat solid foods, the content of the stool changes, this increases the likelihood of developing diaper rash. Diet changes can also increase stool frequency and lead to diaper rash. Breastfed babies may develop this type of dermatitis in response to something the mother has eaten.
– To have sensitive skin, as babies who have skin conditions such as atopic dermatitis (eczema) or seborrheic dermatitis may be more prone to diaper rash. The skin irritated by atopic dermatitis is usually outside the area covered by the diaper.
– The use of antibiotics, because they can contribute to the appearance of a rash, since they eliminate the bacteria that control the proliferation of fungi. The use of antibiotics also increases the risk of diarrhea. Breastfed babies whose mothers take antibiotics are also at increased risk of diaper rash.