Treatment Of Diaper Dermatitis Research Articles

Public Awareness, Prevalence, and Risk Factors of Diaper Dermatitis Among Infants in Al-Qunfudhah Governorate, Saudi Arabia

Background: Diaper dermatitis (DD) was considered one of the most common pediatric dermatological complaints. The presentation of DD can be summarized by symptoms such as papules; erythematous rash; erosions around the thighs, buttocks, or scrotum; suprapubic region areas of skin creases; and scaling. The initial treatment of DD is to keep the diaper area skin as dry as possible. Many mild topical steroids and barrier creams are available to protect against infant skin inflammation. Methods: The sample size was calculated using the Fisher sample method. This study was conducted in Al-Qunfudhah governorate, Saudi Arabia through a questionnaire. The sample size selected was suitable for defining the DD prevalence and causative factor in 0-24-month-old children and those older than 24 months. Results: The majority of participants were female parents 343 (80.33%) at university level 305 (71.43%), their children mostly female 179 (51.88%) aged than 24 months 193 (45.20%). Most of participants that have a child with DD change diaper three times a day 276 (64.64%), and use a cleaning agent water and wet wipes 157 (45.51%). Generally, we founded that prevalence of DD was 80.80% (345/427). When comparing gender groups, females had a higher prevalence (51.88%) compared to males (48.12%) (p=0.7724). Conclusion: Using baby powder and changing diapers fewer than three times per night increased the risk of DD in the study population. As a result, future DD prevention strategies for this age group should emphasize frequent diaper changing (especially at night), as well as the use of diaper cream that improves the skin barrier.

The ABC of prevention and treatment of diaper dermatitis

Diaper dermatitis (DD) is a common disease in the first two years of life, although incontinence DD is seen in all ages including the elderly. Its pathogenesis is not uniform since irritant, allergic, and infectious factors can be involved. Diagnosis is visual except for atypical cases. After birth, the skin adapts from aquatic to terrestrial life. The skin-gut microbiome develops. The focus of the prevention of DD lies in the stabilization of epidermal barrier function and a healthy microbiome. Treatment depends on DD etiology. It includes skincare, hygienic measures, and medical therapy.

Effects of argan spinosa oil in the treatment of diaper dermatitis in infants and toddlers: A quasi-experimental study

ObjectivesDiaper dermatitis (DD) is one of the most common dermatological disorders in children. Commonly used drugs for treatment have several adverse effects; therefore, assessment of safe therapeutic strategies is necessary. We, therefore, aimed at comparing the efficacy of argan spinosa oil and 1% hydrocortisone ointment on DD healing. MethodsA quasi-experimental study was conducted in Jordan on children 2 years old or younger with mild to severe DD. Initially, 73 participants were enrolled in the argan spinosa oil group, and 74 participants were enrolled in the 1% hydrocortisone ointment group. Participants were assigned to groups randomly after the baseline measurement of DD. Healing was measured on a 5-point scale on days 1, 3, and 7, through home visits. Data were analyzed with Fisher's exact test, the Mann–Whitney U test, and generalized estimating equation (GEE) models in SPSS version 25 software, with a significance level of p < 0.05. ResultsOf the 147 enrolled children, 140 completed the study. A significant decrease in the DD grades was observed in both groups. After the exclusion of confounding factors, the GEE models revealed that children treated with argan spinosa oil were approximately 0.25 times less likely to have severe DD grades and to show faster improvement than children treated with 1% hydrocortisone (p < 0.025). Multiple logistic regression on the baseline data revealed that the use of barrier cream (OR: 0.35; 95% CI: 0.18, 0.72; p = 0.004) and a frequency of bathing one or fewer times per week (OR: 1.15; 95% CI: 0.65, 2.10; p = 0.002) predicted DD occurrence. ConclusionArgan spinosa oil is more effective than 1% hydrocortisone in healing DD and might be used as a complementary treatment. However, further clinical trials on larger samples will be essential for confirming the results and making a reliable judgment. Trial registrationNCT04210674.

Pediatricians' Knowledge, Attitudes, and Therapeutic Approaches Regarding Diaper Dermatitis: A Common Condition with Many Different Practices.

Diaper dermatitis is one of the most common skin diseases in early childhood. The prevalence of diaper dermatitis varies between 7% and 35% depending on population and age groups. There may be some differences among the pediatricians about treatment approaches to this common skin condition. The purpose of this study is to evaluate the management strategies of pediatricians for diaper dermatitis. The questionnaire-based cross-sectional study was conducted between September and December 2021. The questionnaire which contained 21 items aimed to investigate the approaches of pediatricians to diaper dermatitis treatment, follow-up and prevention strategies. A total of 217 pediatricians (59.4% female, median age 40.0 years) practicing in 32 different provinces of Turkey completed the questionnaire. The most preferred medical treatments in the first visit of children with diaper dermatitis, in respect of frequency, were zinc oxide, panthenol/dexpanthenol, and hamamelis virginiana extract (70.9%, 36.9%, 33.6% respectively). If there was no response to the first-line treatment in the control examination, the treatment was rearranged by adding an antifungal creams, topical low-potency corticosteroids, and/or high concentration zinc oxide creams (67.7%, 57.6%, 28.6%, respectively). Most cases were referred to a dermatologist if these treatments were not effective in the control visits of patients. Although pediatricians often prefer topical barrier creams for the treatment of diaper dermatitis, options may change depending on the severity of the lesions or the treatment response to the first-line topical treatments.

Лечение пеленочного дерматита у детей

Лечение пеленочного дерматита у детей

A new therapeutic horizon in diaper dermatitis: Novel agents with novel action.

ObjectiveThis review looks at novel combinations of topical agents (i.e., zinc gluconate, zinc oxide, dexpanthenol, and taurine) that target a combination of mechanisms in diaper dermatitis.MethodsA literature search of published studies was conducted using the search terms “diaper dermatitis”, “treatment of diaper dermatitis in infants”, “treatment of diaper dermatitis in adults”, “nonsteroidal”, “nonantibiotic”, “antiinflammatory”, “moisturizer”, and “treatment for irritation”. A total of 207 related articles were screened, and those categorized as clinical trials and reviews were studied and compared. Articles with common themes were categorized, summarized, and presented herein.ResultsDiaper dermatitis, also referred to as diaper rash, napkin dermatitis, and nappy rash, is the most common skin eruption in infants and toddlers. In the last several years, there have been several technologic advances in diaper design to lessen the severity of diaper dermatitis symptoms. However, due to the unique environment of the diaper area, children and adults continue to have recurring symptoms of diaper dermatitis. Both commercially available products and certain home remedies are considered effective for managing sensitive and delicate skin in the diaper area. These topical agents create a protective barrier over the skin and reduce the impact of external irritants, which cause the reddening and burning sensation often associated with diaper dermatitis.ConclusionA range of therapeutic strategies for preventing and controlling diaper dermatitis are summarized in this manuscript.

MODERN APPROACHES TO INTEGRATED THERAPY AND PREVENTION OF DIAPER DERMATITIS

The article presents overview data and the results of the authors' own research on modern approaches to complex therapy and prevention of diaper dermatitis. Diaper dermatitis is an inflammatory reaction of the baby’s skin, resulting from the adverse effects of mechanical, physical, chemical and microbial environmental factors. Features of the skin of an infant (thinness and vulnerability of the epidermis, poorly developed connective component of the dermis, tenderness and fragility of the basement membrane) predispose to its slight trauma and, together with the imperfection of the thermoregulatory and immune functions of the skin, lead to the development of an inflammatory reaction. In 15% of infants, a complicated (severe) form of diaper dermatitis develops rapidly - within 1-2 days. In the future, they have a tendency to relapse with the slightest inaccuracy in care. Secondary (complicated) diaper dermatitis often develops in children with an atopic background.Purpose.To evaluate the effectiveness of DERMIFANT® children's cosmetics in the prevention and treatment of diaper dermatitis in children of the first year of life.Materials and methods.A comparative controlled study was conducted in parallel groups of children of the first year of life, whose parents used DERMIFANT® children's cosmetics at home.Results.The results of studies evaluating the effectiveness of DERMIFANT® children's cosmetics as a means of preventing diaper dermatitis show that all children in the control group whose parents did not use skin care products developed manifestations of diaper dermatitis of varying severity (from single red spots to crusts, wounds, erosion). In the main group of children of the first year of life, whose parents used DERMIFANT® children's cosmetics for the prevention of diaper dermatitis, no clinical manifestations of diaper dermatitis were noted.Conclusions.Daily use of children's cosmetics line DERMIFANT® is an effective means of preventing diaper dermatitis for children in their first year of life..

Non-nutritional "paramedical" usage of human milk - knowledge and opinion of breastfeeding mothers in Poland.

The objective of this study is to understand knowledge, attitudes and practices of non-nutritional breast milk use among lactating women in respect of skin diseases and other frequent ailments. The study, in the form of a questionnaire, spread on social media, was targeted at breastfeeding women. The questionnaire consisted of questions regarding the knowledge of non-nutritional usage of human milk, its use in practice, subjective opinion on the observed results and inclination towards future use. Chi-square tests and c-Pearson coefficients were used for statistical calculations. A total of 1187 responses were acted upon. In the study group, 879 women claimed to have knowledge of non-nutritional use of human milk in respect of skin and most common ailments, whilst 688 of them claimed to use at least one usage. The most frequently, breast milk was used for: care of cracked nipples, care of healthy skin, treatment of diaper dermatitis and treatment of neonatal acne. A correlation between duration of breastfeeding (p < 0.05) and gestational age (p < 0.05) and practical use of non-nutritional human milk was found. The study showed a great enthusiasm of mothers in respect of using breast milk for non-nutritional purposes, including the treatment of skin diseases and other common ailments. However, given the scant studies determining possible concerns surrounding these methods, there is a requirement for parental education with emphasis on the need for prompt medical examination and pertinent treatment.

Effects of Argan Spinosa Oil in the Treatment of Diaper Dermatitis in Infants and Toddlers

Effects of Argan Spinosa Oil in the Treatment of Diaper Dermatitis in Infants and Toddlers

Diaper Dermatitis: answers to questions most frequently asked by pediatricians and parents in the light of recent global trends

The review provides current data on terminology, prevalence, etiopathogenesis, clinic and differential diagnosis of diaper dermatitis (DD). Particular attention is paid to approaches to the prevention and treatment of DD. Modern emollients and moisturisers, production technologies and possibilities of superabsorbing diapers have made it possible to significantly facilitate skin care for newborns and infants, and reduce the frequency and severity of the clinical manifestations of this disease. The key to successful prevention of DD is raising parents’ awareness and teaching them how to care for their baby’s skin.

Knowledge of Diaper Dermatitis and Diaper Hygiene Practices among Mothers of Diaper-wearing Children

The purpose of this study was to investigate the prevalence of diaper dermatitis (DD), knowledge of DD prevention and treatment, and diaper hygiene practices among mothers with diaper-wearing children. The participants were 176 mothers who presented to an outpatient clinic at a children's hospital with diaper-wearing children. Data were collected using a structured self-administered questionnaire. The percent of correct answer for knowledge about DD was 59.7%. Almost half of the participants' children had experienced at least 1 episode of DD during the last 6 months. Inappropriate diaper hygiene practices, such as using talcum powder on DD and rubbing with a dry towel after cleansing, were reported. Moreover, only 37% of mothers used the recommended skin barrier to prevent DD. Although many children suffer from DD, levels of educational experience and perceived need for education on this topic were low. Almost 70% of mothers obtained DD-related information through internet sites. Educating parents about the etiology of DD and evidence-based diaper hygiene practices is an important aspect of effective DD prevention and treatment. Internet sites or smartphone apps may be effective methods for education on DD prevention and treatment considering parents' preferences for ways to obtain health information.

Diaper dermatitis. The role of a nurse in the care of a baby with diaper dermatitis

This article is a continuation of a series of articles on the role of nurses in the care of children during their first year of life. The article presents the authors’ vision on the creation of a team system (doctor – nurse) of outpatient care and counseling of parents on the causes of diaper dermatitis, methods of prevention and treatment of this pathology, depending on the stage of the process. The algorithm of appointment and choice of external means in treatment of diaper dermatitis is presented, their possibilities and efficiency depending on forms of release a cream or an ointment are defined.

Флуконазол в сочетании с цинковой мазью в лечении пеленочного дерматита

Флуконазол в сочетании с цинковой мазью в лечении пеленочного дерматита

Diaper dermatitis in newborns: modern approaches to prevention and treatment

The article presents data on the anatomical and physiological features of the newborns skin. It also considers the issues of pathogenesis of the diaper dermatitis. The main measures aimed at the prevention and treatment of diaper dermatitis in newborns are provided. The articles highlights the role of dexpanthenol-containing drugs in the external therapy of skin diseases in young children.

Prevention and treatment of diaper dermatitis.

Diaper dermatitis (DD) is one of the most common skin conditions that infants suffer from and their caregivers manage in the first months post-birth. As such, questions of effective prevention and treatment of the condition often arise. Nonmedical skincare practices that support healthy skin barrier function can prevent DD manifestation or alleviate the condition in many cases. The usage of barrier emollients and improved diaper technology contributes to keeping moisture and irritants away from an infant's delicate skin. This paper addresses facts behind commonly asked questions from caregivers regarding DD and discusses effective measures to prevent and treat the condition.

Problems of Prevention and Treatment of Diaper Dermatitis in Children within the Current Concepts of the Disease Pathogenesis

научный биометрический журнал, который знакомит читателя с клиническими рекомендациями и особенностями применения лекарственных и вакцинных средств у детей, предоставляет исчерпывающую информацию о воздействии лекарственных средств на плод, о проводимых в

Cushing’s syndrome caused by topical steroid for treatment of diaper dermatitis: case report

Diaper dermatit cocukluk doneminde sik gorulen ve tedavisinde topikal steroidli kremlerin kullanildigi bir durumdur. Bu steroidlerin uzun sureli ve yanlis kullanimina bagli olarak hipotalamo-pituiter-adrenal aks supresyonu sonucu iyatrojenik cushing sendromu gorulebilmektedir. Bu calismada diaper dermatit nedeniyle yaklasik alti ay klobetasol 17-propionate %0.05 krem kullanan sekiz aylik sut cocugunda gorulen iyatrojenik cushing sendromu olgusu sunulmustur. Ozellikle sut cocuklugu doneminde cushing sendromu bulgulari olan hastalarda oykude, kullanilan steroidli kremler sorgulanmali, aileye bu kremlerin olasi yan etkileri, kullanim sekli ve suresi konusunda detayli bilgi verilmelidir.

OBSERVATION OF MEDICINES FOR THE TREATMENT OF DIAPER DERMATITIS ON THE PHARMACEUTICAL MARKET OF UKRAINE

Пелюшковий дерматит зустрічається у кожної другої дитини першого року життя. Основними причинами його розвитку вважаються порушення бар’єрної функції шкіри та неправильний догляд за нею. У роботі проаналізовані дані літературних джерел щодо причин виникнення, симптоматики, профілактики та лікування пелюшкового дерматиту, досліджений асортимент лікарських засобів на фармацевтичному ринку України, що використовуються для його лікування.

Zinc Oxide 30% and Tocopherol Compared to 10% Zinc Oxide Ointment in the Treatment of Infant's Diaper Dermatitis: A Triple Blinded Controlled Randomized Trial

Aim: Assessing the efficacy of an experimental treatment that lasted 5 days and used the paste of Zinc Oxide 30% and tocopherol / Vitamin E compared to the use of a 10% Zinc Oxide ointment in the treatment of diaper dermatitis (DD) affecting the newborn's skin and the premature infant with gestational age ≥ 34 weeks. Background. DD is a common inflammatory irritating condition among children and infants. In multiple clinical studies, mycosis has been isolated in up to 80% of children with DD which can be present for even three or more days. Design: Triple blinded controlled randomized trial. Methods: 169 infants with DD (aged <24 months) were randomized to receive either 10% zinc oxide ointment (n=64) or Zinc Oxide 30% and tocopherol ointment (n=65). Infants were treated with multiple applications for 5 days. The severity of dermatitis was evaluated at both baseline and the end of trial by using the Severity Classification of Diaper Dermatitis scale (SCDD). Results. Improvement in the severity of DD was observed in both treatment groups (P<0.01). There was not a statistically significant difference between the groups as determined by F (2.164) =0.151, p=0.860. There was not any adverse effect from either of the study products. Conclusion: There is not any difference on efficacy of both the treatments. No one mycosis emerged in both groups. Management protocols for DD has relevant role on the improvement of diaper dermatitis in infants and on onset mycosis reduction

Efficacy of Topical Coriandrum sativum Extract on Treatment of Infants with Diaper Dermatitis: A Single Blinded Non-Randomised Controlled Trial.

Diaper dermatitis is a common disorder. Coriandrum sativum is a herbal remedy with anti-inflammatory, analgesic, anti-microbial and anti-oxidant activities effects. In this non randomised clinical trial which was performed on 58 infants with diaper dermatitis referred to Faghihi Hospital, Shiraz University of Medical Sciences, the efficacy and safety of topical Coriandrum extract cream is compared with hydrocortisone ointment. Coriandrum sativum extract cream was administered for 37 (intervention group) and hydrocortisone 1% ointment for 21 (control group) patients. Patients were examined on days 3 and 10. Chi-square test was applied for statistical analysis. The results demonstrated a statistically significant difference in the cure rate (20 (54.1%) for the intervention group versus 19 (90.5%) for the control group) (P-value = 0.005) and side effects (10 (27%) for the intervention group versus 0 (0%) for control group) (P-value = 0.009) both in favor of hydrocortisone. This trial failed to confirm the efficacy of Coriandrum sativum in the treatment of diaper dermatitis; however, it seems that if soothing compounds are used in combination with Coriandrum sativum to reduce the mild irritation, Coriandrum extract can be an alternative treatment for diaper dermatitis.