The Impact of Duration of using Superabsorbent Diaper on the Incidence of Urinary Tract Infection in Children

Abstract

Background: UTI is a common infection in children. Its highest prevalence takes place during infancy and toilet training period in which most infants use diaper. However, the impact of diaper use on UTI in children has been conflicting. Objective: To determine the correlation between duration of superabsorbent diaper usage with incidence of UTI in children. Methods: We performed a prospective cohort study from August-September 2011. We recruited children who used diaper every day, went to play group or posyandu (community health care centres) at Yogyakarta City. Subjects were divided into 2 groups. We compared the incidence of UTI among children who used a diaper > 4 hours per day (group I) and those who used a diaper ≤ 4 hours per day (group II). Results: There were 180 children included in this study. Out of 90 children in group I, 26 (28.9%) had UTI whereas 9 (10%) of 90 children from group II had UTI. Multivariate analysis showed that UTI was significantly higher in children who used diaper > 4 hours per day compared to children who used diaper ≤ 4 hours per day (OR 3.65; 95%CI 1.60-8.35). The Mantel Haenszel analysis showed that the risk ratio for girls was 3.13 (95%CI 1.50-6.55) and boys was 1.56 (95%CI 0.27-8.94), use of diaper in girls > 4 hours per day therefore increased the risk of UTI. Conclusions: The use of superabsorbent diaper > 4 hours per day increased the risk of UTI 365 times compared with the use of ≤ 4 hours per day. Girls who used diaper > 4 hours per day in girls significantly increased the risk UTI.

Correlation between use of disposable diapers and phimosis incidence in children at H. Adam Malik Hospital Medan

“…Lestari et al themselves found that use of disposable diapers >4 hours (mean subjects used >12 hours) increased UTI 2.89 times compared to using diapers <4 hours (Tri Puji Lestari, 2014) The prevalence of pathological phimosis in children at H. Adam Malik Hospital Medan in this study was 47.2% and prevalence of physiological phimosis was 52.8%. Phimosis is a clinical condition in which foreskin cannot be retracted so that glans is not visible.…”

“…The use of disposable diapers in children is a trend nowadays because it is considered practical as compared to cloth diapers. Indonesia represents fourth largest consumer after China, India and the United States (Tri Puji Lestari, 2014).…”

Analisis Pola Peresepan Antibiotik terhadap Outcome Terapi dan Potensi Medication Error pada Pasien Infeksi Saluran Kemih Pediatri

“…Faktor resiko infeksi saluran kemih pada anak berbeda menurut kelompok umur. Faktor resiko infeksi saluran kemih pada anak usia 2-24 bulan menurut penelitian Lestari et al (2014) yaitu penggunaan popok daya serap tinggi >4 jam perhari terutama pada anMenurut IDAI (2011), infeksi saluran kemih pada saat bayi dan anak akan mengakibatkan dampak dikemudian hari hingga jangka panjang terhadap fungsi ginjal yaitu mengakibatkan gagal ginjal akut, bakteremia, dan sepsis. Komplikasi infeksi saluran kemih jangka panjang adalah parut ginjal, hipertensi, dan gagal ginjal.…”