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Skin rashes and infections

Baby with skin rash


Skin infections

During the first 3 months or so after the birth, most babies will
develop various types of skin rashes. These are usually a combination
of normal physiological responses by the baby experiencing hormonal
changes after the birth, as well as suddenly being exposed to the many
different substances (air, clothes, detergents) and temperature
changes outside of their mother's uterus.

Skin rashes can appear in summer or winter, and last for days or
weeks. They can seem to be constantly present, or appear one morning,
and then be gone the next, possibly reappearing at a later time. If
different rashes appear together (which they generally do) it can
cause many parents (and others) some degree of concern, especially
regarding their baby's comfort, and if it is related to any health
problems. However, most rashes in the early months do not require any
treatment, and will not improve by changing your diet (if
breastfeeding), or changing formulas (if bottle feeding). They are
also not caused as a result of your baby's crying or sleeping
patterns.

Rashes after about 3 months of age can be caused by parts of the
baby's skin being in prolonged contact with urine, bowel motions,
saliva or sweat. However, extended skin rashes (especially covering
large parts of the baby's body) may also be related to a medical
condition. If you are concerned about your baby's rash, see you local
doctor, or early childhood nurse.

Some of the more common rashes in the early months are:

Toxic erythema. In the first few days after the birth, it is common
for babies to experience a rash called 'urticaria of the newborn' or
'toxic erythema'. This rash looks a little like small mosquito bites,
with some having yellow-white pustules (or 'white heads'). They are
usually on the baby's body, but can also appear on their face, arms
and legs. The spots come and go (over a period of hours), and do not
worry the baby, with no need to treat them. Do not squeeze the
pustules, as you could damage the baby's skin tissue and possibly
cause a secondary skin infection. Toxic erythema usually disappears by
the time the baby is 7 to 10 days old.

Heat rashes. Heat rashes can appear as tiny, flat, red spots that
often join, to make larger red patches. They tend to occur on the
baby's head, neck and trunk, particularly in and around the creases of
their skin (where the air doesn't circulate). Overdressing may make
the rash worse, so you could try lighter clothing in the warmer
months, or use clothing materials that breathe (such as cotton),
rather than synthetic fabrics. Most newborn babies will get heat
rashes, regardless of the time of year, until they acclimatise to life
outside the womb.

Hormone rashes. Hormone rashes can appear as little white pimples
and/or crusty secretions, especially around the baby's face, eyebrows
and ears. The hormones produced by the mother and baby during labour,
are thought to possibly stimulate the baby's oil glands in their skin,
leading to the rashes. Hormone rashes are also known as 'milk rashes'
(which ironically has nothing to do with milk).

Generally, rashes in the first few months are harmless, and will go
away on their own, leaving your baby with beautiful skin! (So you can
take photos from all angles again!)


Skin infections

Occasionally, a baby may develop a skin infection, which may require
treatment. While these are not common, you may want to be aware of
them. A couple of the more notable skin infections include:

Pyoderma
Baby impetigo

Pyoderma. Pyoderma (pronounced 'pie-oh-derm-a') is the medical term
given to small pimple-like pustules on the baby's skin. They are
caused by the bacteria Staphylococcus aureus (or 'Staph'), and they
normally occur in the creases of the baby's neck and under their arms.
Pyoderma can sometimes be confused with toxic erythema, except that
the pustules do not 'come and go' over a period of hours and are
rarely present before the baby is 3 days old (like toxic erythema).

Pyoderma can be passed to the baby by a caregiver in the hospital, or
another baby. If the baby is well and full term, they will probably
deal with the infection without any treatment. Some caregivers will
ask the parents to place small amounts of antiinfective creams, or
ointments, on the pustules (such as Betadine) in case the pustules
break, and the infection spreads. However, if the baby is very
premature and/or unwell, the pustules can spread rapidly. This would
probably require the baby to have antibiotics prescribed.

Baby impetigo. Baby impetigo is an infection causing small blisters on
the skin. It is highly contagious and can be passed to the baby from
caregivers, or other babies in the hospital, or from a sibling, or
others at home. Impetigo is caused by the bacteria Staphylococcus
aureus (or 'Staph'), entering a break in the baby's skin (for example
through a scratch on the skin, or if the baby is having blood tests,
or a drip in the vein in the intensive care nursery), usually about 2
to 5 days after being exposed to the bacteria.
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The impetigo blisters are filled with clear, yellow fluid and pus, but
there is no redness on the skin around them. The blisters can break
easily. Leaving open, weeping sores that can increase in size. The pus
then hardens, forming a yellow crust (or scab) on the head of the
blister. Impetigo infection can spread quickly on the baby's body, by
the baby (or others) touching the broken blisters, and then touching
other areas of their body.

The lay term for impetigo in older children is 'school sores', with
the medical term for baby impetigo being 'pemphigus neonatorum'.
However, while older children may deal with impetigo fairly readily,
newborn babies can become quite unwell with it, so it is important to
seek treatment fairly early. Treatment will usually involve using
antibiotics as either an ointment, oral liquid, or through a drip in
the baby's vein (if they are unwell, and in the hospital). Babies with
impetigo in hospital need to be cared for in a room of their own,
isolated from all the other babies.

It is important to have any blisters on the baby's skin checked by
your doctor. If an older sibling has the impetigo infection you will
need to try and stop contact between them and your baby, until the
infection is gone. The infected child should have separate towels,
face washers, bedding etc and these should be washed separately. Cut
your older child's fingernails, to help prevent scratching and
spreading of the bacteria. If one family member has the infection,
watch for signs on other family members, as early detection and
treatment may help.


On Fri, Feb 15, 2008 at 10:23 AM, melisa <[EMAIL PROTECTED]> wrote:
> Sambil belajar juga nih....dapetnya Pyoderma.
>  =========================

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