Nappy Associated Dermatitis (NAD)
NAD is one of the most common skin problems, a ecting up to a quarter of babies. It is a form of contact dermatitis where the skin reacts to urine (wee) and faeces (poo) sitting between the nappy and the skin’s surface 5,6 . The skin becomes in amed, it is hot to touch, may be swollen and feel rm. It will change colour, appearing reddened in light skin or purple in dark skin. The severity of skin damage can vary, (See Table 1) this is dependent upon how long the skin is exposed to moisture. It is also in uenced by several other factors including 2 :
Exposure to irritants (on next page)
Type and size of nappy
Nappy-free time
Frequency of nappy changes
Type of skin cleanser
Frequency of skin cleansing
Barrier cream or lm used to protect the skin
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