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Revista Mexicana de Pediatría

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2001, Number 6

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Rev Mex Pediatr 2001; 68 (6)

Diaper dermatitis:The protect barried as a cause

Aviña FJA
Full text How to cite this article

Language: Spanish
References: 14
Page: 237-240
PDF size: 55.87 Kb.


Key words:

Diaper dermatitis, disposable diaper, diaper skin lesions.

ABSTRACT

Objective. To study in infants the role of the skin barrier protection of the conventional disposable diapers.
Material and methods. Two groups of 30 neonates each one were follow through 12 months: one of them, were using conventional disposable diapers and the other group used the same diaper modifier (taking out the elastic thread of the central barrier). The clinical examination of the infants was done monthly and mothers were questioning about skin lesions related to the diaper.
Results. 13% of the infants from the study group, using modifier diapers, shown slight skin lesions, while 56% of the other one, with unmodifier diapers, had from moderate to severe dermatitis. The odds ratio was 4.3 times higher.
Conclusions. Modifier diaper, without the elastic thread of the central barrier is associated to low diaper dermatitis in infants.


REFERENCES

  1. Visscher MO, Chatterjee R, Munson KA, Bare DE, Hoath SB. Development of diaper rash in the newborn. Pediatric Dermatology 2000; 17: 52-57.

  2. Kazaks EL, Lane AT. Diaper dermatitis. Pediatr Clin North Am 2000; 47: 909-919.

  3. Mak VH, Cumpstone MB, Kennedy AH, Harmon CS, Guy RH, Potts RO. Barrier function of human keratinocyte cultures grown at the air-liquid interface. J Invest Dermatol 1991; 96: 323-327.

  4. Lane AT, Rehder PA, Helm K. Evaluations of diapers containing absorbent gelling material with conventional disposable diapers in newborn infants. Am J Dis Child 1990; 144: 315-318.

  5. Berg RW, Milligan MC, Sarbaugh FC. Association of skin wetness and pH with diaper dermatitis. Pediatr Dermatol 1994; 11: 18-20.

  6. Wiener F. The relationship of diapers to diaper rashes in the one-month-old infant. J Pediatr 1979; 95: 422-424.

  7. Wilson PA, Dallas MJ. Diaper performance: maintenance of healthy skin. Pediatr Dermatol 1990; 7: 179-184.

  8. Giusti F, Martella A, Bertoni L, Seidenari S. Skin Barrier, hydration, and pH of the skin of infants under 2 years of Age. Pediatric Dermatology 2001; 18 : 93-96.

  9. Okah FA, Wickett RR, Pickens WL, Hoath SB. Surface electrical capacitance as a noninvasive bedside measure of epidermal barrier maturation in the newborn infant. Pediatrics 1995; 96: 688-692.

  10. Wiener F. The relationship of diapers to diaper rashes in the one-month-old infant. J Pediatr 1979; 95: 422-424.

  11. Visscher MO, Chatterjee R, Munson KA, Pickens WL, Hoath SB. Changes in diapered and nondiapered infant skin over the first month of life. Pediatr Dermatol 2000; 17: 45-51.

  12. Saijo S, Tagami H. Dry skin of newborn infants: functional analysis of the stratum corneum. Pediatr Dermatol 1991; 8: 155-159.

  13. Concannon P, Gisoldi E, Phillips S, Grossman R. Diaper dermatitis: A therapeutic dilemma. Results of a double-blind placebo controlled trial of miconazole nitrate 0.25%. Pediatr Dermatol 2001; 18: 167-168.

  14. Larralde M, Raspa ML, Silvia H, Lamas F. Diaper dermatitis: A new Clinical Feature. Pediatric Dermatology 2001; 18: 149-155.




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Rev Mex Pediatr. 2001;68