A New Scale for Assessing the Severity of Uncomplicated Diaper Dermatitis in Infants: Development and Validation

Buckley, Brian S; Mantaring, Jacinto Blas V.; Dofitas, Rodney B.; Lapitan, Marie Carmela; Monteagudo, R N Aceleen

doi:10.1111/pde.12988

Cited by 24 publications

(49 citation statements)

References 20 publications

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“…Internal consistency of the Diaper Dermatitis Scale (Buckley et al, ) resulted in a Cronbach's α coefficient of 0.70. Corrected item‐total correlations ranged from 0.44 (item “papules and pustules”), to 0.49 (item “open skin”), 0.69 (item “extent of diaper dermatitis”) and 0.75 (item “severity of erythema and irritation”).…”

Section: Resultsmentioning

confidence: 99%

“…Erythema was captured as a separate concept in five instruments (IADS, IADS‐D, IASD.D.2, Diaper Dermatitis Scale and GLOBIAD‐M) and two studies (Buckley et al, ; Van den Bussche et al, ) provided empirical evidence about measurement properties of this item. In all other instruments, erythema was part of broader concepts that were measured (i.e., “perineal skin condition” (PAT), “type of lesion” (RDIC‐Lac instrument) and severity categories of IAD (GLOBIAD, IADIT‐D and DDS_Spanish)).…”

Section: Discussionmentioning

confidence: 99%

“…Based on the guidance provided by Prinsen et al () to identify instruments for possible use in case there is evidence for sufficient content validity and sufficient internal consistency, the Diaper Dermatitis Scale (Buckley et al, ) can be recommended for assessing the severity of uncomplicated diaper dermatitis in infants. This instrument also measures erythema as a separate concept.…”

Section: Discussionmentioning

confidence: 99%

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Outcome measurement instruments for erythema associated with incontinence‐associated dermatitis: Systematic review

Meyer

Gabriel

Kottner

et al. 2019

Journal of Advanced Nursing

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Aim To: (a) examine which outcome measurement instruments for erythema associated with incontinence‐associated dermatitis (IAD) with supporting evidence about measurement properties are available; (b) evaluate the methodological quality of the studies and the quality of the measurement properties; and (c) identify eligible instruments to measure erythema in incontinence‐associated dermatitis research. Design Systematic review. Data sources MEDLINE, EMBASE, CINAHL and CENTRAL were systematically searched until July 2018 (update December 2018). Additional input was gathered from 151 incontinence‐associated dermatitis experts. Cited and citing references of included studies were screened. Review Methods The COSMIN Risk of Bias checklist was applied to evaluate the methodological quality of the studies. Reported measurement properties were rated against criteria for good measurement properties. Results Fourteen studies, describing 10 measurement instruments, were included. In five instruments, erythema was captured as a separate concept, two studies provided empirical evidence about the measurement properties. The most studied measurement properties were reliability (9 studies), measurement error (4 studies) and criterion validity (4 studies). In one study, internal consistency was examined. Conclusion No instrument measuring exclusively erythema associated with incontinence‐associated dermatitis exists. There is no single composite incontinence‐associated dermatitis measurement instrument that outperforms others. Development or adaption of an instrument to measure erythema associated with incontinence‐associated dermatitis is one option to solve this challenge. Impact The evidence about measurement properties of instruments measuring erythema associated with incontinence‐associated dermatitis has not been summarized to date. The lack of an instrument should trigger activities to measure this domain accurately in future clinical trials.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Outcome measurement instruments for erythema associated with incontinence‐associated dermatitis: Systematic review

Meyer

Gabriel

Kottner

et al. 2019

Journal of Advanced Nursing

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“…One of the most frequent reasons for dermatologic consultation in infancy is diaper dermatitis, also known as diaper rash [51]. Its estimated prevalence ranges between 7% and 35% in children aged 1-12 months; in particular, this condition was found in 16% of the children wearing diaper in US and UK hospitals surveys [52].…”

Section: Diaper Dermatitismentioning

confidence: 99%

Advances in pharmacotherapeutic management of common skin diseases in neonates and infants

Patrizi

Neri

Ricci

et al. 2017

Expert Opinion on Pharmacotherapy

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neonatal and infantile skin diseases are frequently encountered in the clinical practice and represent worldwide a socioeconomic issue. They encompass a wide range of acquired or congenital conditions, including infections, vascular lesions and inflammatory diseases and can present with different degrees of severity, leading in some cases to dramatic complications. Areas covered: In this paper we report the most recent evidences on the management of some common skin diseases in neonates and infants. Hemangiomas, viral, fungal and bacterial infections, omphalitis, atopic and seborrhoeic dermatitis, napkin disease will be treated and discussed. Expert opinion: The majority of the dermatologic alterations in neonates are physiological, transient and do not require any treatment, thus the parents can be reassured about the good prognosis. However, in some cases, serious conditions must be excluded. In particular neonatal and infantile infections should be promptly recognized and properly managed, to avoid severe complications. The therapeutic options include traditional and, although few, innovative medical treatments, which will be carefully taken into consideration by the expert Dermatologists and Paediatricians.

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“…Moreover, the frequency of diaper soiling, diarrhea, prolonged wetness due to a low frequency of diaper changes and lack of barrier cream, may increase the risk of skin disease. Premature neonates are at higher risk because of the immaturity of the skin (6). Prevalence in infants (1-12 months of age) ranges from 7 to 35%.…”

Section: Diaper Dermatitismentioning

confidence: 99%

Frequent newborn skin diseases

Patrizi¹

2016

cderm

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SummaryDermatological diseases in neonates are commonly benign and self-limiting, but, in some cases, they may be the first sign of serious conditions, such as complexes syndromes or severe infective disorders requiring an additional work-up. Therefore, an accurate and prompt diagnosis is mandatory. This article presents a short overview of transient neonatal skin conditions, with their differential diagnoses and treatments.

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A New Scale for Assessing the Severity of Uncomplicated Diaper Dermatitis in Infants: Development and Validation

Abstract: The newly developed scale appears to be easy to use, reliable, and effective in detecting increasing or lessening DD severity.

Cited by 24 publications

References 20 publications

Outcome measurement instruments for erythema associated with incontinence‐associated dermatitis: Systematic review

Outcome measurement instruments for erythema associated with incontinence‐associated dermatitis: Systematic review

Advances in pharmacotherapeutic management of common skin diseases in neonates and infants

Frequent newborn skin diseases

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