Diaper candidiasis. Medical care for a child

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Diaper candidiasis. Medical care for a child

Fundamentals of First Aid (OPMP)

Diaper candidiasis - this disease develops in 4-6% of newborns. The causative agent is a fungus of the genus Candida. Most often, the fungus enters the child's body during childbirth during the passage of the fetus through the birth canal of the mother, who suffers from thrush of the external genital organs or is simply a carrier of Candida fungi without clinical manifestations.

Another source of infection for newborns can be non-compliance with the sanitary and epidemic regime in the maternity hospital, that is, infection of babies occurs through poorly washed diapers. Another reason for the development of the disease is the peculiarities of the skin of infants, which in newborns is very delicate, contains many blood and lymphatic vessels. Its outer layer is weakly connected to other layers of the skin. And microtraumas during swaddling, irritation, high temperature, humidity, insufficient hygienic care contribute to the penetration of fungi into its deep layers.

Diaper candidiasis most often appears in the axillary and inguinal folds, as well as on the skin around the anus, navel, and buttocks. Allergic conditions of the baby, prolonged use of antibacterial drugs, improper, irrational feeding, disruption of the gastrointestinal tract also causes the development of candidiasis.

As a treatment, the doctor may prescribe medication. If this disease is not treated, the fungus can affect other organs and systems, that is, the mucous membrane of the esophagus, stomach, intestines, lungs, urinary tract, cardiovascular and nervous systems, and in some cases the entire body as a whole. This is especially true for premature babies who were born with low body weight in combination with skin lesions (dermatitis, pemphigus), and babies who took antibiotics immediately after birth.

Symptoms of candidiasis

In places where there were diaper rash, there are sharply limited areas of reddening of the skin, on which thin-walled bubbles with liquid inside appear. They can merge and become large. When the wall of such a bubble cracks, a red erosion with a wetting surface forms in its place. Later in this place the skin begins to peel off.

The disease can also occur in the form of patchy red lesions with a smooth, shiny surface on the baby's skin, in the middle of which there are cracks and areas of grayish-white skin peeling. This is accompanied by intense itching.

When to contact your local doctor

In the event of a rash on the skin of a child.

How to help a child before the doctor arrives

1. To prevent baby's oral thrush, wipe his mouth with a solution of baking soda (4-5 times a day). This should be done until the age of 3 months, until the child has formed its own slightly alkaline environment in the mouth.

2. Strive to keep breastfeeding your baby. It will help reduce allergic manifestations on the skin, if they were not caused by a violation of the mother's diet (the use of citrus fruits, chocolate, etc.). In addition, breast milk allows the baby to better resist other infections. At the same time, your own nutrition must be enriched with proteins and vitamins, and sweets should be limited.

3. Do not use underclothes, organic synthetic diapers and undershirts, which can cause diaper rash. It is unacceptable for a child to stay in a wet diaper or diaper for a long time!

4. After each urination or bowel movement, you need to wash the baby with a decoction of chamomile and calendula herbs.

5. Bathe your child daily in decoctions of chamomile and calendula herbs.

6. Give your baby air baths as often as possible (at an air temperature in the room of 23-25 ° C), that is, leave the baby for several minutes without a diaper, diapers or panties, allowing him to freely move his legs.

Author: Basharova N.A.

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