Skin problems in children

Neonatal skin sepsis , septic spots, etc:
Always treat with systemic anti-staphylococcal antibiotic eg: Flucloxacillin 62.5mg/5ml qds.
Napkin thrush
Characteristically red patches with discrete satellite lesions.
- Check for oral thrush too.
- Keep area as dry as possible.
- Rx with clotrimazole 1% cream, used thinly bd: At other times use usual barrier cream.
Ammoniacal dermatitis
Responds to general hygiene measures, any barrier cream, and keeping the area dry.
Eczema
Common in infants.
- If mild: Use baby oil and grease eg: Vaseline (most babies).
- If moderate: Use 1% hydrocortisone cream (0.5% ONLY on face) and an emollient eg: aqueous cream.
- If severe: Use emollient and oil in bath eg: balneum, and consider more potent topical steroids. Consider superadded staphylococcal infection.
- NICE referral guidelines for eczema in children