Characterization of Diaper Dermatitis in the United States

Ward, Daniel B.; Fleischer, Alan B.; Feldman, Steven R.; Krowchuk, Daniel P.

doi:10.1001/archpedi.154.9.943

Cited by 115 publications

(104 citation statements)

References 19 publications

(18 reference statements)

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“…Es causada por una combinación de efectos primariamente irritativos dentro de los que se incluyen el uso del pañal, incremento del pH cutáneo, exposición prolongada a la humedad e irritantes como la orina y las heces; 21,22 se caracteriza por eritema confluente, pápulas eritematosas, edema y descamación en las áreas convexas de las nalgas, las ingles, el pubis y el escroto o los labios mayores. 3 Se pueden agregar agentes infecciosos como Candida albicans que prolifera en la piel cuando hay suficiente humedad y calor, lo cual genera mayor inflamación acompañada de pá-pulas y pústulas satélite.…”

Section: Discussionunclassified

Estudio comparativo de eficacia entre dos pañales para la prevención y tratamiento de la dermatitis por pañal

et al. 2016

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310www.actapediatrica.org.mx artículo original Acta Pediatr Mex. 2016 nov;37(6):310-321.Estudio comparativo de eficacia entre dos pañales para la prevención y tratamiento de la dermatitis por pañal ResumenUna meta a alcanzar en los niños que usan pañal es mantener una piel intacta dentro del área cubierta por éste y así evitar la dermatitis por pañal.OBJETIVO: comparar la eficacia de dos tipos de pañal para prevenir o tratar la dermatitis por pañal. MATERIALES Y MÉTODOS:ensayo clínico aleatorizado en lactantes de 6 a 12 meses de edad, con o sin dermatitis por pañal, que utilizaron pañales Huggies UltraConfort ® o BBTips ® . Se investigó la presencia o ausencia de dermatitis por pañal y la evaluación de la eficacia del pañal por el médico y el cuidador. El análisis estadístico incluyó análisis uni-y bivariado.RESULTADOS: en el grupo sin dermatitis por pañal se evaluaron 68 lactantes con edad promedio de 8.54 ± 2.09 meses. Había tenido eventos previos de dermatitis por pañal 72%. Catorce lactantes tuvieron dermatitis por pañal. La comparación entre ambos tipos de pañal demostró que BBTips ® fue más eficaz que Huggies UltraConfort ® . En el grupo con dermatitis por pañal se evaluaron 66 pacientes con edad promedio de 8.65 ± 2.4 meses. Había tenido eventos previos de dermatitis por pañal 88%. A los 15 días se habían resuelto 53% de las dermatitis por pañal y al mes 88%. La comparación entre ambos tipos de pañal no demostró diferencias significativas en la eficacia. CONCLUSIONES: en el aspecto preventivo BBTips® fue superior a Huggies UltraConfort ® . Ambos pañales tuvieron eficacia similar en el tratamiento de la dermatitis por pañal.PALABRAS CLAVE: dermatitis por pañal, prevención, tratamiento. Abstract BACKGROUND: To maintain the integrity of the skin in the area covered by a diaper is a goal in order to avoid the development of diaper dermatitis (DD).

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Section: Discussionunclassified

Estudio comparativo de eficacia entre dos pañales para la prevención y tratamiento de la dermatitis por pañal

et al. 2016

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“…23 The prevalence is estimated to be between 7% and 35% 23 and diaper dermatitis represents the most common skin condition of infancy. 24 Though unsettling to parents, DD generally resolves within a few days without therapy, but protracted cases are potentially more complicated with concern for superinfection with either fungus or bacteria. [23][24][25][26] In 1971, Montes et al cultured the diaper areas of 35 patients with diaper dermatitis and 25 patients with healthy skin; Candida albicans was recovered from 27/35 (77%) of the pa- tients with DD and only 3/25 (12%) of the controls.…”

Section: Early Anti-fungal Treatment Of Diaper Dermatitismentioning

confidence: 99%

“…24 Though unsettling to parents, DD generally resolves within a few days without therapy, but protracted cases are potentially more complicated with concern for superinfection with either fungus or bacteria. [23][24][25][26] In 1971, Montes et al cultured the diaper areas of 35 patients with diaper dermatitis and 25 patients with healthy skin; Candida albicans was recovered from 27/35 (77%) of the pa- tients with DD and only 3/25 (12%) of the controls. 26 According to Weston et al in 1980, Candida albicans frequently complicates diaper dermatitis which has persisted for longer than 3 days, and the authors noted that the rash may not exhibit the typical candidal pattern with satellite lesions.…”

Section: Early Anti-fungal Treatment Of Diaper Dermatitismentioning

confidence: 99%

“Oldie But Goodie”: Pediatric Clinical Concepts

Mellick¹,

Tucker²,

Hamm³

2017

Emerg Med Open J

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In this review five older and lesser known clinical concepts which have weathered decades of clinical practice are presented along with the best supportive evidence that is currently available. Parenteral diarrhea is defined as diarrhea due to infections outside the gastrointestinal tract; and specifically, urinary tract infections are often associated with concomitant diarrhea. The otitis-conjunctivitis syndrome is a clinical observation that for specific infectious agents otitis media and conjunctivitis will commonly occur together. The concept of double-sickening; a potentially useful clinical presentation that commonly forecasts a secondary bacterial infection is also reviewed. Another lesser known topic discussed is the evidence that Candida species frequently colonize the skin in many diaper rashes and the early and more liberal administration of antifungal medications may be appropriate. Finally, in contrast to the common practice of aggressively treating fever, there is new and growing evidence suggesting that fever is actually beneficial to the patient. While these five older clinical concepts have variable degrees of supporting evidence, their longevity and usefulness over decades of clinical practice cannot be denied.

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“…Not only that, but should a person's diaper go unattended, it can lead to even greater health concerns. Market research suggests adult diaper sales have exceeded 1.5 billion annually in the health hygiene market [1]. A contributing factor to this is the way care facilities approach the issue.…”

Section: Introductionmentioning

confidence: 99%

Untitled

2017

JTEFT

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There are many adult diaper users who are unable to recognize when they have soiled themselves. Some diapers approach the problem by integrating smart technology into the textile to assist users. Five smart diapers were selected to be evaluated and compared their capacity to service the needs of consumers. All smart diapers were intended to be not only help serve special needs patients, but also help the caregivers to provide a quicker and more tuned in service. This project is an attempt to compare and contrast these five smart diapers and give caregivers the ability to make informed purchases relative to the special needs of their clients.

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Characterization of Diaper Dermatitis in the United States

Cited by 115 publications

References 19 publications

Estudio comparativo de eficacia entre dos pañales para la prevención y tratamiento de la dermatitis por pañal

Estudio comparativo de eficacia entre dos pañales para la prevención y tratamiento de la dermatitis por pañal

“Oldie But Goodie”: Pediatric Clinical Concepts

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