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Parents and caregivers should call a doctor if a bright red diaper rash lasts longer than 48 hours or is accompanied by a strong odor of urine, which may indicate dehydration (Cincinnati Children's Hospital, 2012).
Rashes in infants and young children are not usually serious and can have various causes. Some common rashes in infants and young children include the following. Diaper rash (diaper dermatitis) is a bright red rash caused by irritation from prolonged skin contact with urine or stool anywhere beneath a child's diaper. Typically, the areas of the skin that touch the diaper are most affected. Diaper rash can also be caused by infection with the fungus Candida, typically causing a bright red rash in the creases of the skin and small red spots. Less often, diaper rash is caused by bacteria.