Abstract
Diaper dermatitis (DD) is one of the most common skin conditions in neonates and infants, with a peak between the ages of 9 and 12 months. Appropriate skin care practices that support skin barrier function and protect the buttocks skin from urine and feces are supposed to be effective in the prevention of DD. Despite many recommendations for parents on proper diaper skin care, there is no up-to-date synthesis of the available evidence to develop recommendations for DD prevention practice. The article contains a systematic literature review on the efficacy of nonmedical skin care practices on the diapered area of healthy, full-term infants ages 0 to 24 months. Found some studies covering skin care practices such as cleansing, bathing, and application of topical products. DD prevalence and incidence and physiologic skin parameters were used as efficacy parameters. The results of this review indicate that cleansing of the diaper area using baby wipes or water and a washcloth have comparable effects on diapered skin. Bathing with a liquid baby cleanser twice weekly seems comparable with water alone. The application of ointments containing zinc oxide or petrolatum with or without vitamin A seems to have comparable effects on DD severity. There seems to be no information on whether single skin care practices such as cleansing, bathing, and application of topical preparations can prevent DD. High-quality randomized clinical trials are needed to show the effectiveness of skin care practices for controlling and preventing DD.
Highlights
The results of this review indicate that cleansing of the diaper area using baby wipes or water and a washcloth have comparable effects on diapered skin
There seems to be no information on whether single skin care practices such as cleansing, bathing, and application of topical preparations can prevent Diaper dermatitis (DD)
Summary
ДУ “Інститут педіатрії, акушерства і гінекології імені академіка О.М. Лук’янової НАМН України”. З метою оцінки ефекту догляду за шкірою новонароджених в області підгузків з використанням дитячих серветок Johnsons® baby в порівнянні з ватними дисками і водою та їх вплив на стан шкіри у здорових, доношених новонароджених у 2008 році проведено наступне моноцентрове проспективне рандомізоване сліпе клінічне дослідження [29]. 3 (А, Б) Результати дослідження впливу дитячого Пінки-шампуню “від маківки до п'яточок” Johnsons® baby на стан шкіри новонароджених та немовлят стандартами якості медичної продукції - Good Manufacturing Practice (Належна виробнича практика), International Organization for Standardization (ISO) (Міжнародна організація по стандартизації), а також розробляються з урахуванням державних вимог тих країн, де вони поширюються (Америки, Європи та ін.) і з урахуванням високих стандартів якості J & J. Blume-Peytavi U, Hauser M, Stamatas GN et al Skin care practices for newborns and infants: review of the clinical evidence for best practices.
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