Nappy rash - introduction

NAPPY RASH - INTRODUCTION
The word dermatitis applies to an inflammation of the skin, so any rash is a dermatitis. It does not imply infection, nor does it mean that the condition is infectious. It is loosely used to apply to many conditions.
A nappy rash may have many causes.
Inadequate cleaning. Many babies have sensitive skins and if the changing of nappies is delayed, so that the skin is in contact with a wet or dirty nappy for a long time, the skin may react by producing a rash.
An ammonia dermatitis, due to the chemical action of ammonia in the urine. This may occur when the baby is on a cereal diet or food that tends to be acidic. It is also common during teething. The characteristic smell of ammonia can be recognised in the urine.
Thrush, or infection on the skin by the yeast organism monilia or Candida. The organism rarely is the primary cause of infection anywhere in the body. It is a secondary invader in tissues already inflamed from another cause.
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